Remote Bilingual (Spanish) Customer Service Representative

$39,520 - $41,600/Yr

Guidehealth - Hialeah, FL

Full-time - Entry Level

Remote - Hialeah, FL

About the position

The Remote Bilingual (Spanish) Customer Service Representative at Guidehealth is responsible for providing exceptional customer service to clients and members in a healthcare setting. This role involves answering calls, resolving inquiries, and maintaining professionalism while ensuring accurate documentation and follow-through on client interactions. The representative will also assist with additional projects as needed, contributing to the overall efficiency of the customer service team.

Responsibilities

• Answering client and member calls in a timely manner.
• Providing excellent customer service and support.
• Interpreting client health plan protocols.
• Assisting with claims processing and workflow queues as assigned.
• Maintaining accurate and complete call documentation.
• Returning incoming calls and addressing inquiries regarding claims payment and coverage information.
• Supporting additional projects and mailing tasks as needed.

Requirements

• Bilingual in English and Spanish is required.
• Minimum of 2 years experience in a high volume healthcare call center is required.
• Knowledge of healthcare claims review or processing is required.
• Experience in Health Care/Health insurance is required.
• Familiarity with BCBS HMOI or other insurance plans is a plus.
• Proficiency in using multiple systems including Teams and Excel; experience with Jira is a plus.
• Excellent verbal and written communication skills are essential.
• Availability for an 8-hour shift between 8am to 6pm Central time.

Nice-to-haves

• Experience with HMO Managed care and Medicare Advantage.

Benefits

• 401(k) with 3% employer match
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Paid parental leave
• Flexible Time Off