Job description

The Company: AlohaCare
is a Hawaii-based, non-profit health plan serving the Hawaii Medicaid and Medicare dual
eligible population. We provide comprehensive managed care to qualifying health
plan members through well-established partnerships with quality health care
providers and community-governed health centers. Our mission is to serve
individuals and communities in the true spirit of aloha by ensuring and
advocating access to quality health care for all. This is accomplished with
emphasis on prevention and primary care through community health centers that
founded us and continue to guide us as well as with others that share our
commitment. As Hawaii’s third-largest health plan, AlohaCare offers
comprehensive prevention, primary and specialty care coverage in order to
successfully build a healthy Hawaii.The Company: AlohaCare
employees share a passion for helping Hawaii’s most underserved communities.
This passion for helping and caring for others is internalized and applied to
our employees through a supportive and positive work environment, healthy
work/life balance, continuous communication and a generous benefits package.AlohaCare’s
leadership empowers and engages its employees through frequent diversity,
recognition, community, and educational events and programs. AlohaCare has a
strong commitment to support Hawaii’s families and reinforces a healthy
work/home balance for its employees. Because AlohaCare values honesty, respect
and trust with both our internal and external customers, we encourage
open-door, two-way communication through daily interactions, employee events
and quarterly all-staff meetings. AlohaCare’s comprehensive benefits package
includes low cost medical, dental, drug and vision insurance, PTO program, 401k
employer contribution, referral bonus and pretax transportation and parking
program.These
employee-focused efforts contribute to a friendly, team-oriented culture which
is positively reflected into the communities we serve.The Opportunity/Position Summary: Searching
for candidates residing in Orange County, California area.Provides
in/outbound telephonic and occasional face to face service to AlohaCare members
and providers, using the highest degree of expertise, courtesy and
professionalism with the objective of retaining the customer's business and
ensuring their on-going satisfaction in service.Essential Duties & Responsibilities: ·
Fields incoming member and provider routine and complex calls concerning
benefits, services, claims and other inquiries.·
Receives and completes member call backs regarding various company surveys,
reminders or mailers.·
Assists members in Primary Care Physician (PCP) selections and reassignments in
accordance with regulatory agency and AlohaCare policies, and updates member
records as needed·
Responds to all incoming inquires relating to member eligibility and assists
members in enrollment into the QUEST Integration program.·
Maintains data integrity by entering and updating information in member and
provider database; keeping accurate account of all telephonic transactions.·
Responsible to maintain AlohaCare’s confidential information in accordance with
AlohaCare policies, and state and federal laws, rules and regulations regarding
confidentiality. Employees have access to AlohaCare data based on the data
classification assigned to this job title.Required Competencies & Qualifications: ·
High School graduate / equivalent·
Minimum of 2 years of call center work experience·
Minimum of 2 years health care work experience·
Working knowledge of Microsoft Office (Outlook, Word Excel and Lync)At
the minimum, work physically in the office full time at 3090 Bristol Street,
Costa Mesa, CA 92626 during the first 90 days of training.This
position is hybrid, work remotely upon successful completion of all required
trainings and able to be physically in the office at 3090 Bristol Street, Costa
Mesa, CA 92626 for meetings and ongoing trainings.Preferred Qualifications: ·
Associate degree or post high school graduate training – especially in
healthcare, insurance or customer service-related fields·
Prior managed care work experiencePhysical Demands/Working Conditions:
Requires prolonged operation of
a computer workstation, including the ability to type for extended periods
of time on a keyboard during the scheduled work day.

May require occasional lifting,
up to 20 pounds

AlohaCare is committed to providing equal employment opportunity
to all applicants in accordance with sound practices and federal and state
laws. We are an equal opportunity employer. All persons shall have the
opportunity to be considered for employment without regard to their actual or
perceived race, color, creed, religion, national origin, ancestry, citizenship
status, age, sex or gender (including pregnancy, childbirth, related medical
conditions and lactation), gender identity or expression (including transgender
status), sexual orientation, marital status, military service and veteran
status, disability, protected medical condition as defined by applicable state
or local law, genetic information or any other characteristic protected by
applicable federal, state or local laws and ordinances.

Salary range: $20.00 - $25.00 per hour

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