RemoteLeaf Logo
Log in Sign up

Bilingual (Spanish) Commercial Health Call Center Representative

6 days, 7 hours ago
United States
Full-time
Junior
Customer Support
Customer and Technical Support
CRM 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.
  • Handle inbound and outbound calls while delivering a professional customer service experience.
  • Use company policies, benefits, claims, and eligibility information to provide accurate responses.
  • Manage escalations and member complaints through resolution with appropriate follow-through.
  • Document all calls accurately and maintain required production and quality standards.
  • Collaborate with internal departments, vendors, business partners, and providers to solve problems efficiently.
  • Interpret claims, claim payments, and billing-related inquiries.
  • Identify call trends and escalate suggested solutions to leadership.
  • Assist members with navigating the member portal and encourage self-service tool use.
  • Participate in virtual team huddles, one-on-ones, and check-ins while maintaining attendance and schedule adherence.

Requirements

  • At least 2 years of customer service experience supporting a commercial health plan, not limited to Medicare, Medicaid, or pharmacy.
  • Fluency in both English and Spanish is required.
  • Ability to work remotely from the United States in the CST or EST time zone.
  • 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 clearly.
  • 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 system, preferably Salesforce.
  • Ability to maintain a dedicated private workspace and keep sensitive documents secure.
  • High-speed internet service available at the candidate's location.

Benefits

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

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Staffing For Doctors

Bilingual Referral Coordinator - Orthopedics Experience Preferred

Staffing For Doctors Health Care Providers & Services

Bilingual Referral Coordinator at an orthopedic practice managing patient referrals, authorizations, and care transitions from initial referral through treatment and procedures.

Colombia El Salvador Guatemala Honduras Nicaragua Peru Full-time Junior Customer Support Project Coordinator
7 hours, 27 minutes ago
Mercier Consultancy

Danish Speaking Client Support Specialist | Relocation to Greece

Mercier Consultancy Professional Services

Danish-speaking Client Support Specialist at an international team in Greece, supporting customers and ensuring a positive service experience while living and working abroad.

Portugal Bulgaria Spain Sweden Denmark Greece Full-time Entry Level Customer Support
7 hours, 27 minutes ago
Mercier Consultancy

Dutch Speaking Client Support Specialist | Work and Live in Greece

Mercier Consultancy Professional Services

Dutch-speaking Client Support Specialist needed for an international team in Greece to provide customer support and help manage client requests in a multicultural environment.

Greece Full-time Entry Level Customer Support
7 hours, 27 minutes ago
IntellaTriage

Remote Nurse Advice Part-time AM 5a-11a CST

IntellaTriage 51-250 Health Care Providers & Services

IntellaTriage is hiring remote Nurse Advice Line RNs to provide direct patient triage support from home for a fast-paced, high-volume nursing service.

United States Part-time Junior Customer Support
$52k-$52k
HIPAA
7 hours, 27 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers