Bilingual Spanish Call Center Representative

Job Summary

To support its significant growth, the full-time Bilingual Spanish Call Center Representative will manage inbound and outbound calls, provide accurate information on commercial health plan benefits and claims, and deliver exceptional customer service in a remote environment.

Key responsibilities

• Research and respond to inquiries from members and providers while documenting all calls accurately
• Manage escalations and coordinate problem-solving with internal departments and external partners
• Assist members in navigating the member portal and encourage self-sufficiency with available tools

Required qualifications

• At least 2 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, including CPT/ICD-10 and HCPCS codes
• Experience with CRM systems, preferably SalesForce
• Ability to work in a remote, fast-paced environment with a dedicated workspace and secure internet connection