Bilingual Customer Service Representative (Remote)

Overview

The Bilingual Customer Service Representative will assist health plan members and providers by providing exceptional support, ensuring accurate information regarding member eligibility and benefits, and resolving issues efficiently.

In Short

• Serve as the first point of contact for members and healthcare providers.
• Assist with inquiries regarding health plan benefits, claims, and eligibility.
• Resolve problems faced by members and providers with accuracy.
• Document customer interactions using the company's CRM system.
• Meet performance goals in efficiency, accuracy, and member satisfaction.
• Adhere to organizational policies and procedures.
• Bilingual in Spanish & English is required.
• 1-2 years of customer service experience in healthcare is required.
• Call center experience is necessary.
• Work from home with specific tech requirements.

Requirements

• High School Diploma/GED is required.
• Familiarity with healthcare terminology is preferred.
• Excellent verbal and written communication skills.
• Strong problem-solving and active listening skills.
• Technical proficiency with CRM systems.
• Ability to handle high call volumes.
• Team player with a positive attitude.
• Commitment to continuous improvement.

Benefits

• Comprehensive health insurance benefits.
• Flexible work/life balance.
• Autonomy in the work environment.
• Recognition for performance.
• Opportunity for continuous learning.