About The Position

We are hiring remote Project Based Bilingual Spanish Healthcare Customer Service Representatives who will support inbound calls from US based members/providers who have questions about their health, wellness, pre-authorizations, copayments, and plans/coverage.

Requirements

  • 18+ Years & High School diploma or its equivalent
  • Minimum of 6 months of previous experience working in a call center or as a health plan call center agent (member service, provider service, pharmacy plan member service) preferred
  • Medicare and/or Medicaid experience would be a plus
  • Exceptional customer service, active listening, and verbal and written communication skills
  • High computer proficiency and navigation of multiple applications
  • Willing to work any shift between 10:00am-1:00am 7 days a week Eastern standard time + holidays & weekends (on holidays, extend hours 24/7 to small staff)
  • Professional Positive Attitude & Courteous Telephone Etiquette
  • Customer focused personality and a desire to help people

Responsibilities

  • Actively listen to customers to understand their concerns & build a rapport that will make them feel heard and cared for
  • Provide essential information to members regarding access to care issues, benefits, proof of coverage, member handbook, etc.
  • Guide callers through troubleshooting, navigating self-service options use company sites and/or using products or services
  • Utilize client specific knowledge systems to research & review multiple documents to better serve the customer while keeping the customer engaged
  • Follow instructions provided through documented processes and procedures to ensure all compliance is met for government audits
  • Empathize and resolve concerns to simplify the customer’s healthcare experience
  • Navigate through multiple computer applications with speed & accuracy
  • Adapt to learn new call types when business needs change & flex support in those areas

Benefits

  • $15 per hour in training, pay increases to $15.50 after training is completed + Overtime during peak needs
  • If you are Bi-lingual in Spanish, the pay rate is $17 per hour
  • Access up to 50% of your pay immediately after your shift
  • Paid, Virtual Training
  • Remote work environment
  • Opportunity for Professional Development

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What This Job Offers

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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