You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a proactive Broker Assistant with a strong healthcare background to handle inbound calls, assist members in accessing services, and manage provider communications effectively. This role is crucial in ensuring members understand how to access covered and non-covered services and guiding them through the grievance and appeals process while supporting interdisciplinary care teams.

Key Responsibilities

• Handle incoming telephone calls, answer questions for members and providers, and assist members in accessing necessary services in line with the plan of care.
• Conduct post-enrollment orientation activities for members and their families.
• Explain the plan’s rules for obtaining services and assist members in making appointments with healthcare providers.
• Respond to member questions and grievances, advising on the prerogative to complain to regulatory bodies, and log grievances.
• Facilitate communication between members, subcontractors, providers, and Care Managers.
• Conduct medication reminder phone calls under the direction of the Interdisciplinary Care Team.
• Assist members with the renewal of their Medicaid benefits.
• Participate in special projects according to program needs.

Qualifications

• Healthcare background, prefer experience at a health plan.
• Bilingual proficiency preferred, with a preference for Mandarin, Cantonese, Bengali, or Spanish.
• Strong communication and facilitation skills.

Experience

• Minimum of 3 years of job-related experience in Health Care.
• Experience with PCs and related software, including Windows and Microsoft Office Suite.

Skills

• Proficient in healthcare provider services and payment systems, including Medicaid and Medicare.
• Strong planning, organizing, and problem-analysis skills.
• Effective communication and diplomacy in handling sensitive issues.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients