Bilingual, Spanish Commercial Health Call Center Representative
Job Description:
- Provide accurate and thorough information on commercial health plan benefits, eligibility, and claims.
- Handle inbound and outbound calls as well as respond to email inquiries from customers.
- Develop processes, call scripts, metrics, and desk top procedures.
- Deliver exceptional customer service experience to Evry members and providers.
- Partner with senior leadership daily.
Requirements:
- Minimum of 2 years of customer service experience supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy)
- Experience collaborating and supporting business and operational units such as Claims, Medical Management and Appeals and Grievance.
- Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes.
- Excellent communication skills, both verbally and in writing, and can articulate and communicate complex topics to a broad audience.
- Comfort working in a fast-paced, deadline-oriented work environment.
- Strong attention to detail and problem-solving skills with a high level of accuracy.
- Proficiency in Microsoft Office applications Word, Excel, Outlook OneNote, etc.
- Prior experience using a CRM, preferably SalesForce.
Fluency in both English and Spanish is required.
Benefits:
- Competitive salary
- Comprehensive health, dental, and vision insurance as well as life and disability
- Retirement savings plan with company match
- Generous time off/vacation
- Professional development opportunities
- Flexible and remote work environment