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VXI Global Solutions

Spanish Bilingual Healthcare Representative - Remote

RemoteUnited States only
Published
Role
Fullstack
Experience
Senior
Employment
Contract
Salary not disclosed
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No BS summary

As a Spanish Bilingual Healthcare Call Center Representative , you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services.

Core skills

Healthcare customer supportBilingual customer serviceCrisis resolution

Required skills

CRMEMREHRticketing platformstelephony systemsSpanish (spoken and written)English (spoken and written)EMR/EHRTyping (35 WPM)Customer Service/Communication SkillsHealthcare supportCall center operationsTyping 35 WPMTypingHealth Insurance Terminology/complianceTechnical Systems/CRM, EMR/EHR, ticketing platforms

Optional skills

Call center experienceHealth insurance industry experiencePrevious call center experiencePrior experience in the health insurance industryMedicare/Medicaid knowledgeHealth insurance terminology (copays, deductibles, claims, authorizations)language requirementsHealth insurance experience

Required languages

Spanish fluentEnglish fluent

What you'll do

  • Manage inquiries in areas such as Member Services, Medicare, and Billing, assisting Spanish- and English-speaking customers.
  • Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.
  • Uphold the organization’s philosophy of extraordinary customer relations.
  • Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.
  • Analyze and evaluate customer issues to initiate and coordinate service recovery measures.
  • Document all member interactions meticulously following established procedures.
  • Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).
  • Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.
  • Leverage a thorough understanding of company policies and processes to meet customer needs effectively.
  • Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.
  • Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.
  • Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.
  • Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.
  • Use multiple systems/screens while assisting callers effectively
  • Navigate CRM, EMR/EHR, and ticketing platforms effectively
  • Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and using required tools.
  • Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality.
  • Use multiple systems/screens while assisting callers effectively.
  • Navigate CRM, EMR/EHR, and ticketing platforms effectively.
  • Uphold the organization's philosophy of extraordinary customer relations.
  • Understand Medicare/Medicaid plans and regulations, and explain plan benefits, networks, and coverage policies.
  • Contribute to departmental goals and objectives in this role.
  • Consistently uphold company compliance standards and join support - understanding of the current AGENT processes

What they require

  • Fluency in both Spanish and English (spoken and written) is required.
  • Minimum of two (2) years of customer service or healthcare member-interaction experience.
  • High School Diploma or GED required.
  • Excellent written and verbal communication skills.
  • Proven analytical and problem-solving abilities.
  • Ability to respond concisely and clearly to customer queries.
  • Strong critical thinking and attention to detail.
  • Typing speed of at least 35 WPM with a 5% or lower error rate.
  • Reliable internet connection: stable, high-speed internet with minimum bandwidth of 20 Mbps downstream and upstream.
  • Quiet, distraction-free workspace with a reservoir door that closes.
  • Comfortable desk and chair setup for proper installation of equipment.
  • Comfort with technology and ability to learn new systems quickly.
  • Self-motivation and independence
  • Strong interpersonal skills
  • Ability to adapt to changing technologies and procedures while working remotely.
  • Fluency in both Spanish and English (spoken and written) is required
  • Minimum of two (2) years of customer service or healthcare member interaction experience
  • High School Diploma or GED required
  • Data security
  • قيادة and compliance with HIPAA
  • abstract healthcare knowledge (insurance terminology, Medicare/Medicaid)
  • Outstanding written and verbal communication skills.
  • Strong critical thinking and problem-solving skills.
  • A dedicated, quiet workspace with a door that may closes, free from ambient noise.
  • A comfortable desk and chair setup that allows for the proper installation of required equipment.
  • High-speed internet with a minimum bandwidth of 20 Mbps downstream and upstream.
  • Self-motivation & independence in a remote environment.
  • Strong verbal and written communication skills in a virtual setting.
  • Ability to adapt to changing technologies and procedures whilst working remotely.

Benefits

  • Competitive hourly rate with performance-based increases.
  • Full health insurance coverage includes medical, dental, and vision plans.
  • Supportive, engaging, and inclusive work environment with opportunities to grow and develop skills.
  • Abundant advancement opportunities within the organization.
  • Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply).
  • Referral for Life Program™: Earn residual bonuses for referring employees who join the team.
  • Inclusive workplace: Equal Opportunity Employee, welcomes individuals with disabilities and allows golden nuggets.
  • language_requirementsnotes
  • Competitive hourly rate with opportunities for performance-based increases
  • Full health insurance coverage: medical, dental, and vision plans
  • Supportive, engaging, and inclusive work environment
  • Abundant career growth and advancement opportunities
  • Cell phone benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply)
  • Referral for Life Program: earn base bonuses for referring employees
  • Equal Opportunity Employer, welcoming individuals with theilities and veterans
  • Competitive hourly rate with performance-based increase
  • Full health insurance coverage including medical, dental, and vision plans.
  • Abundant advancement opportunities
  • Equal Opportunity Employer
  • Referral for Life Program™: Earn residual bonuses for referring employees who join the team and remain with the company
  • Full health insurance coverage, including medical, dental, and vision plans
  • Advancement opportunities within the organization
  • Equal Opportunity Employer, welcoming individuals with disabilities and veterans

VXI Global Solutions is a BPO leader in customer service, customer experience, and digital solutions. Founded in 1998, the company has 40,000 employees in more than 40 locations in North America, Asia, Europe, and the Caribbean. We deliver omnichannel and multilingual support, software development, quality assurance, CX advisory, and automation & process excellence to the world's most respected brands.

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Salary not disclosed