Bilingual Health Claims Support Specialist

MagnaCare; New York (NY); On-site; USD 46,000 - 48,000; Full time

Benefits offered by this job

Equal Opportunity Employer

Job summary

Brighton Health Plan Solutions, LLC is seeking a bilingual Customer Service Representative to assist members and providers with benefits and eligibility. The role requires handling claims inquiries, reconsiderations, and appeals with care, in a fast-paced environment in New York.

The ideal candidate will have experience in a high-volume call center, strong Spanish/English communication, basic computer skills, and HIPAA knowledge, supporting projects across departments as needed.

Qualifications

• Experience in high-volume call center environments with claims inquiries and reviews.
• Bilingual in Spanish and English required; familiarity with healthcare terminology.
• Basic computer operations and MS Office proficiency; HIPAA confidentiality awareness.

Responsibilities

• Handle inbound calls from members and healthcare providers regarding benefits and eligibility.
• Address claims inquiries, reconsiderations, and appeals with accuracy and empathy.
• Update files and coordinate with internal teams to resolve issues on first contact where possible.
• Explain fee schedules, network participation, and requirements; ensure effective communication.
• Support management and other departments on projects; prior multi-channel experience is a plus.

Skills

Bilingual Spanish/English

Customer service

Multichannel communication

Time management

HIPAA knowledge

Empathy

Education

High School diploma

Some college / business school

Tools

Microsoft Office

Job description

Brighton Health Plan Solutions, LLC is seeking a bilingual Customer Service Representative to assist members and providers with benefits and eligibility. The role requires handling claims inquiries, reconsiderations, and appeals with care, in a fast-paced environment in New York.

The ideal candidate will have experience in a high-volume call center, strong Spanish/English communication, basic computer skills, and HIPAA knowledge, supporting projects across departments as needed.