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ALL's WELL

Member Assessment Agent

Career Insights for Healthcare Customer Service Representative

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What they do

A Healthcare Customer Service Representative responds to customer inquiries about healthcare and provides information about healthcare plans, providers, policies and coverage. Assists customers with questions about healthcare insurance and premiums. Keeps records of customer communications and transactions.

$45,587 / year median in California

-11% projected decline

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Job Description

Position Overview We are seeking a Bilingual Spanish Member Assessment Agent to support members through comprehensive health risk assessments and help connect them with appropriate healthcare, care management, and community resources. The ideal candidate will have experience in healthcare customer service, call center operations, medical assisting, community health, or a similar member-facing healthcare environment. Strong communication skills and the ability to engage members in both English and Spanish are essential.
Assignment Details Position:
Member Assessment Agent -
Bilingual Spanish Assignment Duration:
ASAP through December 31, 2026
Schedule:
Monday-Friday, 8:30 AM-5:00 PM, with a 30-minute lunch
First Day Schedule:
Monday-Friday, 8:00 AM-5:00
PM Start Date:
Upon successful completion of the background check
Work Arrangement:
Primarily remote, with occasional onsite reporting as required
Language Requirement:
Fluency in English and Spanish Primary Purpose The Member Assessment Agent conducts Health Risk Assessments (HRAs) primarily by telephone to identify members' medical, behavioral, and social needs. The role helps determine which members may benefit from additional care management services and ensures they are connected with appropriate resources and support. Key Responsibilities Conduct comprehensive Health Risk Assessments with members primarily by phone. Collect and document relevant medical and health history. Identify healthcare needs, barriers to care, and potential risks. Screen members for social determinants of health. Educate members regarding available health plan benefits and services. Identify members who may benefit from care management or additional support. Refer members to appropriate healthcare, community, and social service resources. Accurately document assessment findings and member interactions in applicable EMR/CRM systems. Verify member eligibility and identify applicable special member status or program criteria. Collaborate closely with Care Management, Member Services, and other internal teams. Communicate professionally and compassionately with members from diverse backgrounds. Maintain confidentiality and follow established healthcare, privacy, and documentation requirements. Ideal Candidate Candidates with experience in one or more of the following environments are strongly preferred: Medical Assistant Certified Nursing Assistant (CNA) Community Health Worker (CHW) Healthcare Call Center Representative Health Plan or Healthcare Customer Service Population Health Care Coordination Member Services Patient Outreach or Engagement. Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team. ALL's WELL participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https:
//e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. #8822