Dedicated to resolving healthcare insurance claims, the full-time Remote Bilingual Spanish Resolution Specialist will manage complex member cases, enhance resolution quality, and collaborate with various departments to improve member engagement. Key responsibilities Serve as a subject matter expert for escalated member calls, resolving issues related to authorizations, claims, and provider networks Identify and implement process improvement opportunities within the member engagement department Document member interactions accurately and meet individual and team goals while providing excellent customer service Required qualifications Minimum of 1 year of healthcare experience and/or training required; 3-4 years preferred At least 1 year of outbound call center experience, including roles in onboarding, appointment scheduling, or resolution Experience navigating Medicare Advantage benefits, including referrals and authorizations High school diploma or GED; equivalent combination of education and experience accepted Bilingual proficiency in English and Spanish is required, with intermediate skills in Microsoft Office Suite
Bilingual Spanish Resolution Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.