Bilingual Health Call Center Representative

Job Summary

To support its significant growth, the full-time Bilingual Health Call Center Representative will manage inbound and outbound calls, respond to email inquiries, and provide accurate information on commercial health plan benefits and claims in a remote environment.

Key responsibilities

• Research, review, and respond to inquiries from members and providers
• Effectively manage escalations and handle member complaints with professionalism
• Document calls accurately and recognize trends to suggest improvements to leadership

Required qualifications

• At least two years of customer service experience supporting a commercial health plan
• Fluency in both English and Spanish is required
• Knowledge of medical and insurance industry terminology
• Experience collaborating with operational units such as Claims and Appeals
• Proficiency in Microsoft Office applications and familiarity with CRM systems, preferably SalesForce