JSG (Johnson Service Group, Inc.) · 1 day ago
Member Assessment Agent
San Francisco, CA
Contract
Hybrid
Entry Level
$26/hr - $32/hr
2+ years expJohnson Service Group (JSG) is seeking a Bilingual Tagalog- Member Assessment Agent for a Health Plan partner. The main function of this role is to connect with members to complete health risk assessment forms and educate them about plan benefits.
B2BConsultingHuman ResourcesInternetStaffing Agency
Responsibilities
Conduct member assessment interviews and collect members’ health history, primarily by phone
Clearly document responses, risks, and any barriers to accessing proper care in company systems
Confirm receipt and validate completion of member assessments received via mail, telephone, fax, email, in-person, online, and external partners
Confirm member eligibility and special flag status, e.g., hospice status
Exhaust all resources and make robust outreach attempts to follow-up on open cases, including conducting member outreach by mail
Clearly document any member’s complaints, including grievances and appeals
Validate, research, and reconcile any discrepancies identified through various systems such as HEALTHsuite, and update member demographics as needed
Clearly refer and communicate pertinent health information to appropriate departments to facilitate assistance with the member
Participate in team meetings and contribute to quality improvement initiatives
Escalate member issues to Member Assessment Supervisor as appropriate
Perform other duties as assigned
Qualification
Required
Bilingual English/Tagalog Required
Equivalent to a high school diploma or GED required
Minimum of two (2) years of work experience in a healthcare or managed care environment
Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint
Preferred
Experience working in a call center environment highly preferred
Medicare and Medi-Cal programs highly preferred
Best practices in customer service, especially telephone-based services
Benefits
Medical
Dental
Vision
Life insurance options
Short-term disability
401(k)
Weekly pay
And more
Company
JSG (Johnson Service Group, Inc.)
Johnson Service Group, Inc.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Greg Thullner
Chief Operating Officer
Dale Slater
Principal
Recent News
2025-09-16
MarketScreener
2025-08-01
Company data provided by crunchbase