Bilingual Customer Service Representative

Driscoll Children's Hospital; McAllen (TX); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Driscoll Health Plan Call Center is seeking a friendly, dependable Call Center Customer Service Representative to assist members and providers with Medicaid benefits, eligibility, claims, and related services. This fast-paced, phone-based role emphasizes excellent communication, patience, and problem-solving to deliver exceptional customer service.

The position is onsite with a Monday–Friday schedule, 8:00am–4:30pm or 8:30am–5:00pm. A $3,500 sign-on bonus is offered to new hires.

Qualifications

• High … 123?

Responsibilities

• Meet established call center performance expectations, including spending approximately 90% of scheduled time handling phone calls, based on business needs.
• Answer incoming calls from Driscoll Health Plan members and healthcare providers in a professional, courteous, and timely manner.
• Assist callers with questions regarding Medicaid benefits, eligibility, claims, authorizations, pharmacy benefits, transportation, provider information, and other healthcare services.
• Provide accurate information and work toward resolving questions or concerns during the first call whenever possible.
• Navigate multiple computer systems to research information, document interactions, and resolve customer inquiries.
• Maintain accurate and detailed documentation of calls, inquiries, and resolutions.
• Assist members with locating healthcare providers assist an e‑
• STUFF … ?

Job description

Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

Bilingual Call Center Customer Service Representative

$3,500 Sign-On Bonus Offered!

Work Schedule: Monday–Friday, 8:00am–4:30pm or 8:30am–5:00pm | Onsite

Join the Driscoll Health Plan Call Center team!

The Driscoll Health Plan is a Medicaid Managed Care organization dedicated to helping members access the healthcare services and resources they need.

We are seeking a friendly, dependable, and detail-oriented Call Center Customer Service Representative to assist our members and healthcare providers with questions regarding health insurance benefits, eligibility, claims, authorizations, crises calls, abuse, fraud, and other healthcare-related needs.

This is a fast-paced, phone-based position that requires excellent communication skills, patience, problem-solving abilities, and a commitment to providing exceptional customer service.

Key Responsibilities

• Meet established call center performance expectations, including spending approximately 90% of scheduled time handling phone calls, based on business needs.
• Answer incoming calls from Driscoll Health Plan members and healthcare providers in a professional, courteous, and timely manner.
• Assist callers with questions regarding Medicaid benefits, eligibility, claims, authorizations, pharmacy benefits, transportation, provider information, and other healthcare services.
• Provide accurate information and work toward resolving questions or concerns during the first call whenever possible.
• Navigate multiple computer systems to research information, document interactions, and resolve customer inquiries.
• Maintain accurate and detailed documentation of calls, inquiries, and resolutions.
• Assist members with locating healthcare providers assist an e‑
• STUFF .. ?

Qualifications & Skills

• High … 123?