Job Overview
Employment Type
Full-time
Compensation
Type:
Hourly
Rate:
Range $21.00 - $27.75
Work Schedule
Weekend Shifts
Night Shifts
Benefits
remote work
Health Insurance
Paid Time Off
Retirement Plan
Professional Development
Employee assistance program
Flexible Schedule
Job Description
Alignment Healthcare is a leading healthcare company dedicated to providing comprehensive, member-focused health plans that prioritize both quality care and accessibility. As a specialized company in the healthcare sector, Alignment Healthcare offers a unique model of care designed to simplify the healthcare experience for its members while delivering exceptional service and outcomes. With an innovative approach that merges technology with personalized care, the company operates with a mission to enhance the daily lives of its members through integrated health plans, supplemental benefits, and expert-guided care coordination.
The Virtual Concierge Navigator, Medical Assistant role is a vital position within Alignment Health... Show More
The Virtual Concierge Navigator, Medical Assistant role is a vital position within Alignment Health... Show More
Job Requirements
- High school diploma or general education degree (GED)
- medical assistant certification
- medical front and back office experience
- knowledge of ICD-10 and CPT codes
- availability to work overnight, weekends, and holidays as scheduled
- strong computer skills
- typing 40+ words per minute
- excellent communication skills
- ability to pass a writing test
- willingness to adhere to no time off policy during onboarding/training and Jan 1 - Jan 30 due to high call volume
Job Qualifications
- High school diploma or general education degree (GED)
- medical assistant certification
- medical front and back office experience
- knowledge of ICD-10 and CPT codes
- high-volume inbound customer service experience especially in health plan or Medicare member services roles preferred
- telemarketing or member outreach experience preferred
- specialized experience in escalation or resolution units preferred
- strong communication skills via email and phone
- fluency in written and verbal Spanish, Korean, or Vietnamese a plus
- ability to read and interpret safety rules, operating instructions, procedure manuals
- ability to write routine reports and correspondence
- ability to speak effectively before groups
- strong computer skills
- typing speed of 40+ words per minute
- excellent oral and written communication skills
- impeccable grammar and spelling
- ability to pass a writing test
Job Duties
- Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries
- serve as a subject matter expert in the healthcare experience members navigate daily
- resolve incoming calls concerning eligibility, benefits, provider information, clinical, and pharmacy needs
- coordinate membership changes such as primary care physician updates and proactively engage members with wellness plan options
- collaborate with partners including internal departments, supplemental benefit vendors, and provider networks to facilitate member experience
- manage communication preferences including time of day, channel, language, and utilize interpreter services as needed
- provide administrative support to virtual providers with referrals and authorization requests
- coordinate member care for primary care plans, diagnostic tests, radiology, laboratory, and specialty appointments
- schedule appointments and transportation as appropriate
- manage clinical escalations and triage linking members to appropriate clinical resources
- verify and connect members to outreach or care gap programs
- monitor communication channels and manage timely replies
- develop, write, and edit digital replies ensuring adherence to communication scripts or templates
- deliver excellent customer service and contribute to a culture of exceeding member expectations
- adhere to attendance policies to ensure consistent queue coverage
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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