Bilingual Healthcare Call Center Specialist

Unilogic Healthcare Management, LLC.

Cypress (CA)

On-site

USD 42,000 - 56,000

Full time

6 days ago

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Job summary

Unilogic Healthcare Management, LLC in Cypress, CA is seeking a bilingual Customer Service Representative to handle inbound calls, assist members, and coordinate care with providers. You will maintain 90% quality, average 60 inbound calls daily, document thoroughly, and ensure HIPAA compliance while supporting referrals, billing, eligibility, and transportation needs.

Two years of call-center experience and a high school diploma are required; this role offers stable full-time work in a

Qualifications

Must be bilingual Spanish/English.
Minimum of two (2) years of customer service experience in a call center environment.
High School Diploma or equivalent required.
Ability to multitask, prioritize and work in a fast-paced environment.
Knowledge of HIPAA transaction sets, regulations/privacy laws.

Responsibilities

Answer telephone calls in a prompt, courteous, professional manner and act as liaison between members and care providers.
Assist with inquiries related to claims, eligibility, referrals, billing, access, transportation, and care coordination.
Ensure 90-day probationary performance is met and conduct 30/60/90-day evaluations.
Handle inbound calls (minimum 60 per day) and provide thorough documentation of every call.
Verify HIPAA requirements to ensure account accuracy and follow up on open issues.
Escalate recurring issues to management and support team members as needed.
Assist with member outbound calls when required and perform other duties as assigned.