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Bilingual (Spanish) Commercial Health Call Center Representative

1 hour, 58 minutes ago
United States
Full-time
Junior
Customer Support
Customer and Technical Support
Salesforce
Apply Now
Evry Health

Evry Health

Evry Health is a modern health insurance company that prioritizes delivering great benefits at affordable prices. They offer a unique approach to health insurance by focusing on making members healthier and happier through personalized care from a dedi...

Insurance
11-50
Founded 2017
$7M raised
View All Jobs 5

Description

  • Research, review, and respond to inquiries from members and providers by phone and email.
  • Provide accurate information on commercial health plan benefits, eligibility, claims, and claim payments.
  • Handle inbound and outbound calls while delivering an exceptional customer service experience.
  • Use active listening, empathy, and professionalism to manage difficult calls and complaints.
  • Manage escalations within the department and follow issues through to closure.
  • Collaborate with internal departments, vendors, business partners, and providers to resolve problems.
  • Accurately document all calls and maintain production and quality standards.
  • Identify trends in call types and share suggested solutions with leadership.
  • Assist members with navigating the member portal and encourage self-service use of tools.
  • Participate effectively in a virtual work environment through team huddles, 1:1s, messaging, and check-ins.

Requirements

  • At least 2 years of customer service experience supporting a commercial health plan, not limited to Medicare, Medicaid, or Pharmacy.
  • Experience collaborating with Claims, Medical Management, and Appeals and Grievance teams.
  • Knowledge of medical and insurance terminology, including CPT, ICD-10, HCPCS, and Revenue Codes.
  • Excellent verbal and written communication skills with the ability to explain complex topics to a broad audience.
  • Comfort working in a fast-paced, deadline-oriented environment.
  • Strong attention to detail, problem-solving skills, and a high level of accuracy.
  • Proficiency with Microsoft Office applications such as Word, Excel, Outlook, and OneNote.
  • Prior experience using a CRM, preferably Salesforce.
  • Fluency in both English and Spanish.
  • Must live and work in the United States in the CST or EST time zone.
  • Must have a dedicated private work area and secure handling for sensitive documents.
  • Must have access to an existing high-speed internet connection.

Benefits

  • Competitive salary.
  • Comprehensive health, dental, and vision insurance.
  • Life and disability insurance.
  • Retirement savings plan with company match.
  • Generous time off/vacation.
  • Professional development opportunities.
  • Flexible and remote work environment.

Interested in this position?

Apply directly on the company website

Apply Now

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