Customer Service Representative (Cantonese or Mandarin Speaking) at Astrana Health | All Remote Jobs
Astrana Health
Customer Service Representative (Cantonese or Mandarin Speaking)
United States · remote · Salary not listed
himalayasseo_indexablePosted 2026-08-19First seen 2026-09-09
Role overview
Job Title: Customer Services Representative
Department: Operations - Member Services
About the Role: Astrana is looking for a Customer Service Representative to join our fast and growing Dynamic team. This position requires speaking fluent in Cantonese or Mandarin to assist with our member population.
What You'll Do
Answer all daily telephone calls from members, providers, health plans, insurance brokers, collection agents and hospitals
Collect Elicit information from members/providers including the problem or concerns and provide general status information
Verify authorization, claims, eligibility, and status only
All calls carefully documented into Company’s customer service module & NMM Queue system
Member/Provider Service/Representative assists Supervisor and Manager with other duties as assigned
Member outreach communications via mail or telephone
Assist Member appointment with providers
Resolve walk-in member concerns
Able to provide quality service to the customers
Able to communicate effectively with customers in a professional and respectful manner
Maintain strictest confidentiality at all times
Specialist termination notifications sent to members
Urgent Medicare Authorization Approval – Notification to Medicare members
Transportation arrangement for Medicare & Medi-Cal members
Assist Case Management on CCS – age in 21 years for change of PCP from Pediatrics to FP/IM
Assist Marketing on email inquiries
Assist PR/ Elig – Members assigned to wrong PCP/with no PCP status
Assisted UM / Medical Directors on urgent member appointment from escalated cases
Authorization status response call back
Benefits – return call once information is obtained / verified
Complaints/Grievances – return calls once resolution is obtained
DME – Translation support in Spanish and Chinese to confirm item / appointment set up for DME department
Eligibility – return call to providers/labs when member is added to system while waiting at the office.
Member bills – return calls once resolution is obtained
Member Survey – Annually: every 4thquarter
Outreach project from internals – QCIT
Resolve walk in members concerns
Specialist Termination notification sent to members
Transportation arrangement for Medicare / Medi-Cal members
Voice mail – return calls back to callers
CONCIERGE SERVICES – ESSENTIALS DUTIES AND REQUIREMENTS:
Assist to contact new members/IPA member transfer on new PCP assignment as needed
Work group discussions on work status/progress on new member/IPA transfer
Update call log and provide daily/weekly status as needed
Facilitate members with complex pre-existing conditions, medications, PCP/SPC network reviews
Conference call with PCP selection / change
Help member to identify member bill status, connect provider with on billing and claim submission
Responsible for experience of the membership associated with new member/IPA transfer
Responsible for to interact with Health Plan’s Customer Service Team to serve new member/IPA transfer
Problem Solving complex cases/ brain storm with MS management team for resolution
Other duties as assigned
Qualifications
High School Diploma or GED
Experience using Microsoft applications such as Word, Excel and Outlook
Experience working in customer service
One year related experience and/or training; or equivalent combination of education and experience
You are fluent in Cantonese or Mandarin
You're a great for this role if:
You have previous work experience working in a healthcare setting
Environmental Job Requirements and Working Conditions
This is a remote role. The home office is aligned with your department at 9700 Flair Drive, El Monte, CA 91731
This position is required to work between Monday - Friday at 8:30am to 5:00pm PST.
The target pay range for this role is $17.50 - $22.00 per hour. This salary range represents national target range for this role. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.