Health Plan Member Services Counselor

The Position Bargaining Unit: Local 856 - Health Services Unit RE-ANNOUNCEMENT** Why Join Contra Costa Health? The Contra Costa Health Services Department is recruiting for one (1) qualified candidates interested in the Health Plan Member Services Counselor positions assigned to the Contra Costa Health Plan (CCHP) located in Martinez, CA. Bilingual candidates, especially those fluent in Spanish and Mandarin, are strongly encouraged to apply. The Health Plan Member Services Counselor will be responsible for assisting Health Plan members find solutions to issues, helping members understand the scope of available benefits and how to access healthcare delivery services, assisting members in choosing primary care providers, and educating members on the proper use of the Health Plan. We Are Looking For Someone Who Is An excellent listener Able to focus on the member’s needs and present the best solution Patient with members who are upset and are able to de-escalate situations Able to communicate effectively verbally and in writing Able to positively adapt to changes within the unit What you will typically be responsible for: Educating members on benefits and exclusions Processing requests for Medi-Cal emergency disenrollment by following guidelines Processing member interpreter request Identifying and conducting intake for complaints, grievances, appeals Engaging the community in planning processes A Few Reasons You Might Love This Job The unit you will work in is a semi fast paced environment You will build rapport with members and assist them with their inquiries You will acquire experience working in a Managed Care setting A few challenges you might face in this job : Communicating with upset members Some phone calls may become stressful due to the needs of the member Handling and resolving member issues in a timely manner Competencies Required: Professional & Technical Expertise: Applying technical subject matter to the job Using Technology: Working with electronic hardware and software applications Action & Results Focused (Taking Initiative): Initiating tasks and focusing on accomplishment Adaptability: Responding positively to change and modifying behavior as the situation requires Attention to Detail: Focusing on the details of work content, work steps, and final work products Handling Stress: Maintaining emotional stability and self-control under pressure, challenge, or adversity Professional Integrity & Ethics: Displaying honesty, adherence to principles, and personal accountability Informing: Proactively obtaining and sharing information Listening: Fully comprehending spoken communication Writing: Communicating effectively in writing Customer Focus: Attending to the needs and expectations of customers Professional Impact: Presenting self as a positive representative of the organization To read the complete job description, please visit the website: https://www.cccounty.us/hr The eligible list established from this recruitment may remain in effect for six (6) months. Minimum Qualifications Experience: Either 1) one (1) year of full-time (or the equivalent of full-time) experience in a health care or health insurance setting providing customer service to patients which involved handling complaints and assisting patients in understanding how to access health care services; or 2) two (2) years of full-time (or the equivalent of full-time) experience in a health care setting performing admission, registration, financial counseling or medical records documents processing duties which required direct patient contact. Desirable Qualifications Experience working in a call center assisting patients with health care or health insurance Experience assisting customers with health benefits and provisions in a Managed Care setting Ability to type 45 words per minute Selection Process Application Filing and Evaluation: Applicants will be required to complete a supplemental questionnaire at the time of application, applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process. Online Multiple-Choice Exam: Candidates that meet the minimum qualifications will be invited to participate in a multiple-choice assessment.The assessment is designed to measure ca