Bilingual Spanish Resolution Specialist
Job Summary
Dedicated to resolving healthcare insurance claims, the full-time Remote Bilingual Spanish Resolution Specialist will manage complex member cases, enhance resolution quality, and collaborate with various departments to improve member engagement.
Key responsibilities
- Serve as a subject matter expert for escalated member calls, resolving issues related to authorizations, claims, and provider networks
- Identify and implement process improvement opportunities within the member engagement department
- Document member interactions accurately and meet individual and team goals while providing excellent customer service
Required qualifications
- Minimum of 1 year of healthcare experience and/or training required; 3-4 years preferred
- At least 1 year of outbound call center experience, including roles in onboarding, appointment scheduling, or resolution
- Experience navigating Medicare Advantage benefits, including referrals and authorizations
- High school diploma or GED; equivalent combination of education and experience accepted
- Bilingual proficiency in English and Spanish is required, with intermediate skills in Microsoft Office Suite
Complete Job Description
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