Healthcare Member Services Representative (Spanish)

TEKsystems•Denver, CO

4d•$22 - $22•Remote

About The Position

Join our team as a Member Services Representative, serving as the first point of contact for members enrolled in public health insurance programs. You will provide exceptional service, resolve inquiries, and deliver accurate information across more than 26 benefit programs. This call center supports 1.4 million members enrolled in Colorado Medicaid.

Requirements

1–2 years of call center experience.
Passion for helping others and delivering outstanding customer service.
Strong critical thinking skills; ability to handle complex inquiries (not transactional).
Reliability and ability to work independently.
Comfortable working on a PC for 8 hours/day using multiple systems.
Exceptional listening, questioning, and troubleshooting skills.
Basic computer proficiency (Chrome, Google browser).
Ability to simplify complex concepts for members.
High level of self-motivation and ethical self-management.
Bilingual in Spanish or Russian.
Must live in Denver area.
Must have a quiet distraction-free area for remote work, and the ability to connect to router for internet connection.

Nice To Haves

Experience in customer service, finance, billing, administration, or healthcare policy.
Familiarity with Health First Colorado or County Human Services eligibility processes.

Responsibilities

Answer inbound calls from members regarding public health insurance programs.
Deliver first-contact resolution by solving problems and addressing billing concerns.
Explain benefits, rules, and policies clearly and accurately.
Listen actively to members’ questions and provide appropriate options and solutions.
Utilize multiple systems to manage phone, chat, and email communications.