Bilingual Member Services Representative

Solis Health Plans, Inc.; Florida; On-site; USD 34,000 - 44,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401K match

Job summary

Solis Health Plans, Inc. is seeking a bilingual Member Services Representative to provide high-quality service to members via phone, in person, and written communication. The role emphasizes accuracy, HIPAA compliance, and familiarity with plan benefits and CMS guidelines, in a fast-paced environment.

The position is on-site in Miami, FL with full benefits including medical, dental, vision, and a 401(k) with company match. Fluency in English and Spanish is required.

Qualifications

• High School diploma or equivalent required.
• Minimum 1 year healthcare experience preferred.
• Familiarity with HIPAA regulations and privacy practices.
• Excellent communication and multitasking skills required.
• Fluency in English and Spanish required.

Responsibilities

• Handle inquiries via phone, written, and in-person channels courteously and promptly.
• Explain coverage decisions, benefits, eligibility, and referrals according to plan rules.
• Document all inquiries and outcomes accurately in the member file.
• Maintain service levels and respond within defined CMS timeframes.
• Collaborate with internal teams to resolve member issues and requests.

Skills

Bilingual English/Spanish

Customer service

Communication skills

HIPAA knowledge

Education

High School diploma or equivalent

Tools

Microsoft Office

Job description

Solis Health Plans, Inc. is seeking a bilingual Member Services Representative to provide high-quality service to members via phone, in person, and written communication. The role emphasizes accuracy, HIPAA compliance, and familiarity with plan benefits and CMS guidelines, in a fast-paced environment.

The position is on-site in Miami, FL with full benefits including medical, dental, vision, and a 401(k) with company match. Fluency in English and Spanish is required.