Bilingual Customer Service Representative

TEKsystems•Houston, TX

5d•$22 - $24•Onsite

About The Position

This role involves engaging with members to resolve complex coverage and benefit issues, providing empathetic support, and coordinating across internal and external partners to ensure seamless healthcare experiences. The representative will need a strong understanding of health plans and benefit offerings. Responsibilities include handling inbound or outbound phone calls, troubleshooting prior authorization issues, coordinating with PBMs, and leveraging customer service and de-escalation skills to manage complex claims issues and support members through difficult situations.

Requirements

Experience in healthcare call centers or customer service (non-retail).
Strong multitasking and communication skills.
Comfort with discussing sensitive healthcare topics (e.g., chronic conditions, end-of-life care).
Ability to use multiple monitors and systems simultaneously.
Must be bilingual in SPANISH or Korean.
Knowledge of healthcare offerings.
Prior call center experience.

Responsibilities

Engage with members to resolve complex coverage and benefit issues.
Provide empathetic support to members.
Coordinate across internal and external partners to ensure seamless healthcare experiences.
Handle inbound or outbound phone calls daily.
Troubleshoot prior authorization issues and coordinate across PBMs.
Manage complex claims issues and support members through difficult situations using strong customer service and de-escalation skills.