Bilingual Healthcare Customer Service Representative

This is a fully remote position, open to applicants in Texas.

📋 Description

• Respond to incoming calls and emails from members concerning benefits, eligibility, wellness initiatives, spending accounts, and enrollment inquiries.

• Assist members with open enrollment, COBRA, qualifying life events, and changes to benefit coverage.

• Verify eligibility and update member account details.

• Reset online account passwords and provide support for website navigation.

• Order member ID cards and materials related to benefits.

• Educate members on the available programs, resources, and online tools.

• Conduct follow-up and outbound calls to enhance member experience.

• Accurately document interactions and manage cases until resolution.

• Escalate complex issues as required while ensuring a positive member experience.

⛳️ Requirements

• Bilingual in Spanish and English (Spanish-speaking support necessary).

• At least 1 year of experience in a healthcare call center.

• Proven history of reliability and strong job tenure while working remotely.

• Excellent customer service and communication abilities.

• Proficient typing speed of 40+ WPM.

• High School Diploma or GED is required.

• Must reside in Texas.

• Reliable internet connection with minimum speeds of 200 Mbps download and 25 Mbps upload.

• Preference for candidates with experience in supporting medical, dental, vision, or pharmacy benefits.

• Preferred experience in open enrollment or COBRA.

• Background in healthcare benefits administration is a plus.

• Experience with both inbound and outbound calls is preferred.

• Strong skills in Microsoft Office and computer navigation are preferred.

🏝️ Benefits

• Fully remote work environment.

• Consistent Monday to Friday work schedule.

• Comprehensive training program and ongoing support.

• Team-oriented, collaborative culture.

• Opportunity for a long-term career in healthcare customer service.

• Exposure to benefits administration and member advocacy.

• Medical, dental, and vision coverage.

• Critical Illness, Accident, and Hospital benefits.

• 401(k) Retirement Plan with options for pre-tax and Roth post-tax contributions.

• Voluntary Life Insurance & AD&D for employees and dependents.

• Short and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Paid Time Off/Leave options including PTO, Vacation, or Sick Leave.