
Bilingual Mandarin Customer Experience Specialist
Posted Oct 14

Posted Oct 14
This is a fully remote position, open to applicants in United States.
• Establish meaningful connections with members through compassionate, patient, and respectful communication.
• Take ownership of member interactions from start to finish and resolve inquiries during the initial contact whenever feasible.
• Provide outstanding service while fostering trust, empathy, and achieving first-call resolution.
• Address questions regarding benefits, eligibility, services, policies, and procedures.
• Assist with inquiries related to provider networks, claims/reimbursement, transportation, food, dental, and various support services.
• Respond to incoming communications within set service levels.
• Record member interactions, actions taken, and outcomes in real-time.
• Handle complaints, grievances, and disenrollment issues by identifying root causes, proposing solutions, and escalating as necessary.
• Support outbound outreach programs and service initiatives.
• Represent Alignment Healthcare with integrity, positivity, and a strong service-oriented approach.
• Engage in continuous coaching, feedback, and learning opportunities.
• A minimum of 2 years of experience in customer service, contact center, or member support, ideally within the healthcare and/or Medicare Advantage sectors.
• A high school diploma or GED is mandatory.
• Relevant college coursework or an Associate/Bachelor’s degree may be accepted in place of experience.
• Proven ability to effectively utilize technology and adhere to detailed workflow instructions.
• Bilingual proficiency in Mandarin Chinese and English.
• Skilled in Microsoft Outlook, Word, Excel, CRM, and Contact Center software.
• Comfortable with on-camera presence for training and meetings.
• A distraction-free workspace that ensures strict confidentiality and compliance with HIPAA regulations.
• Adequate internet bandwidth to connect with Alignment’s systems during scheduled shifts.
• Properly maintained and accessible technology equipment, including a headset and keyboard.
• Clear, concise, and warm verbal communication along with accurate documentation capabilities.
• Demonstrated empathy, patience, and respect when interacting with older adults and individuals with disabilities.
• Minimum typing speed of 40 WPM.
• Ability to meet KPIs related to attendance, schedule adherence, and quality standards.
• Capacity to handle high call volumes and emotionally sensitive situations.
• Flexibility to work shifts based on business requirements.
• Familiarity with Medicare Advantage, Medi-Cal, or managed care plans is preferred.
• Strong problem-solving abilities.
• Organized, self-motivated, and comfortable working in a fast-paced environment.
• Capability to perform essential physical tasks, including sitting, standing, walking, reaching, and lifting/moving up to 10 pounds.
• Comprehensive health insurance options.
• Competitive salary and performance-based incentives.
• Opportunities for professional development and career growth.
• Supportive work environment with a focus on employee wellbeing.
• Potential for flexible scheduling and remote work options.
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