Asian Health Services · 1 month ago
Member Services Representative
Oakland, CA
Full-time
Onsite
Entry, Mid Level
$31.15/hr - $34.33/hr
2+ years expAsian Health Services is a healthcare provider focused on whole patient health and community well-being. The Member Services Representative will assist in determining eligibility for health and social services, conduct patient screenings, and provide support in navigating payment programs.
DentalHealth CareMedicalNon ProfitNutritionService IndustrySocial
Responsibilities
Conducts patient financial screening to determine eligibility for County Medical Services Program (CMSP), Medicare, Medi-Cal, Healthy Families, and other payment sources
Assists patients in completing forms and applications for payment programs
Follows up on patients’ pending status for payment programs
Assists patients in selecting a primary care provider and a health insurance plan, including PPO and HMO
Contacts health plan and insurance company to verify patients’ insurance coverage and referral requirement; may assist in completing Medi-Cal applications and perform status follow-up with the county’s Medi-cal worker
Answers inquiries and provides counseling regarding Medi-Cal and Medicare and their managed care systems, and other social service needs
Update patient financial information in the computer system and follow up on patients’ pending status for a payment program
Answer incoming phone calls that are directed to the Member Services Department and make appointments for members
Assists the Member Services Manager in conducting member exit interviews and in processing monthly member rosters for all AHS’ contracted managed care plans
Provide input to Member Services Manager in developing and maintaining eligibility criteria and procedures consistent with AHS goals and objectives
Provides advocacy for AHS patients/members due to government welfare reform and immigration policies
Conduct medical history intake interviews for all patients including new patients, newborn infants, and perinatal patients
Meets regularly with Member Services Manager to discuss patient eligibility problems and/or other issues affecting the department
May provide back up for the front desk patient services representative, interpreting services, and Saturday clinic as requested
May provide back up for Member Services Manager (Level II only), solving complex problems as necessary
Assists the Billing department regarding billing problems as requested
May attend staff and department meetings, as well as special training sessions related to new eligibility criteria for payor programs
May participate in special AHS internal committees and task forces, as appropriate
May act as lead and troubleshoot on issues for Billing department staff, Patient Services Representatives, Providers, and Medical Interpreters
Perform other duties as required
Qualification
Required
Ability to speak English and Cantonese and/or Mandarin
[Entry Level] High school diploma or GED with two years related work experience in a community health setting; or equivalent combination of education and experience
[Intermediate Level] High school diploma or GED with two years of college course work in a related field and two years related work experience in a community health setting; or equivalent combination of education and experience
Preferred
Bilingual/bicultural in Vietnamese preferred
Commitment to working in the Asian community, to community health care with familiarity with community health clinics preferred
Health Families certification preferred
Company
Asian Health Services
Asian Health Services provides medical, dental, and behavioral healthcare for underserved.
201-500 employees
H1B Sponsorship
Asian Health Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (5)
2023 (5)
2022 (3)
2021 (3)
2020 (4)
Funding
Current Stage
Growth StageTotal Funding
$0.15MKey Investors
Blue Shield of CaliforniaCDA Foundation
2025-04-23Grant
2024-03-18Grant
2021-12-15Grant· $0.15M
Leadership Team
Julia Liou
Chief Executive Officer
Daveena Ma, MD
Associate Chief Medical Officer
Recent News
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