"Alerted.org

Duties and Responsibilities:

Candidate must be able to communicate fluently in Cantonese or Mandarin

+ Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.

+ Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans.

+ Documents accurate member information in compliance with our internal procedures.

+ Manages a large member caseload.

+ Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.

+ Escalates calls as necessary

+ Additional duties as assigned.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.