About the role

Job Description: Member Services Representative (Bilingual Tagalog) - Call Center
Location: Alameda, CA 94502 (Onsite)
Schedule: Monday-Friday, 8:00 AM-5:00 PM Pay: $28.61/hrSummaryHiring a Member Services Representative (Bilingual Tagalog/English) for an onsite call center role supporting health plan members and providers. This Member Services Representative position is ideal for customer service professionals who can handle a high volume of inbound calls, deliver accurate answers on benefits and eligibility, and document every interaction in a CRM. If you have call center experience, strong de-escalation skills, and enjoy problem-solving across multiple computer systems, this Member Services Representative role is a strong match.
Responsibilities:
  • Answer a high volume of inbound/outbound calls; support members via phone, email, chat, and written communications
  • Explain benefits, eligibility, claims status, authorizations, provider network questions, and health plan services
  • Research member issues across multiple systems/databases using a multi-monitor setup
  • Provide excellent customer service, active listening, and clear communication; de-escalate upset callers professionally
  • Accurately document all contacts in a CRM (service requests, dispositions, notes, follow-ups, outcomes)
  • Coordinate with internal departments (claims, enrollment, authorizations, pharmacy, IT, appeals/grievances) to resolve complex cases
  • Assist members with online self-service tools (member portal/web navigation support)
  • Meet performance metrics for quality, productivity, documentation accuracy, attendance, and customer satisfaction
Qualifications: High school diploma or GED required (Bachelor's preferred or equivalent experience) Bilingual Tagalog/English required; must pass a language proficiency exam (90%+ score)1+ year customer service experience (call center/contact center preferred; healthcare/managed care a plus) Comfortable with headset-based work, constant computer use, and fast-paced queuesStrong typing/data entry and documentation skills; CRM experience (Salesforce or similar) preferredFamiliarity with medical terminology, benefits/eligibility, claims, and authorization workflows is a plus
Job Requirements
Qualifications:
  • High school diploma or GED required (Bachelor's preferred or equivalent experience)
  • Bilingual Tagalog/English required; must pass a language proficiency exam (90%+ score)1+ year customer service experience (call center/contact center preferred; healthcare/managed care a plus)
  • Comfortable with headset-based work, constant computer use, and fast-paced queuesStrong typing/data entry and documentation skills; CRM experience (Salesforce or similar) preferredFamiliarity with medical terminology, benefits/eligibility, claims, and authorization workflows is a plus
  • Meet Your Recruiter
Holly Romain hromain@alinestaffing.com hromain@alinestaffing.com About Alameda, CAReady to kickstart your career in the vibrant and thriving area around Alameda, California? This picturesque region, nestled in the San Francisco Bay Area, offers an abundance of job opportunities with a backdrop of stunning views and a rich cultural scene. Discover the charm of Alameda with its historic landmarks like the USS Hornet Museum, unique cuisine at Alameda's vibrant restaurants, and diverse entertainment options at venues like the Alameda Theatre & Cineplex. With easy access to outdoor activities at Crown Memorial State Beach and the Alameda Marina, this area provides the perfect blend of work and play. Explore our job listings today and make your mark in this enchanting location! Related JobsThere are currently no related jobs. Please sign up for Job Alerts.

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JOB OVERVIEW

Salary

$28.61/hr

Experience level

Junior

Location

Alameda, CA

Occupation

Customer Service Representatives

Industry

Telephone Answering Services

Posted

yesterday

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