Bilingual Outreach Specialist, Healthcare Customer Service, Remote

Centauri Health Solutions, Inc.; New Mexico; Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare solutions is seeking a Bilingual Outreach Specialist to enhance customer service for health plan members. This role focuses on building relationships, providing essential information, and guiding patients through eligibility processes. With a commitment to compassion and understanding, you will play a vital role in improving health outcomes. The position offers a rewarding work environment with competitive compensation and comprehensive benefits, making it an ideal opportunity for those passionate about helping others in the healthcare sector.

Benefits

Paid Time Off

401(k)

Tuition Reimbursement

Health Plans

Volunteer Opportunities

Development Programs

Qualifications

• 1+ years in a call center environment handling calls.
• Experience in healthcare or government benefits is a plus.

Responsibilities

• Conduct eligibility screenings via phone.
• Clarify eligibility requirements and application details.
• Refer patients to assistance agencies when needed.

Skills

Fluent in Spanish

Fluent in English

Customer Service

Attention to Detail

Empathy

Tools

MS Office

Job description

Bilingual Outreach Specialist, Healthcare Customer Service, Remote

New Mexico, USA Req #3210

Friday, May 9, 2025

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial, and Exchange. We aim to improve the lives and health outcomes of members and patients through compassionate outreach, analytics, clinical data exchange, and data-driven solutions. Our solutions address complex issues such as uncompensated care, risk-adjusted revenue, and access to quality care. Headquartered in Scottsdale, Ariz., we employ 1700 associates nationwide and have been listed on Inc. 5000 and Deloitte Technology Fast 500.

Role Summary:

Outreach Specialists build relationships with health plan members and patients, providing information about our services, clarifying eligibility and application details, and referring patients to additional assistance agencies. Compassion and understanding are essential to deliver the highest level of customer service.

Work hours: Monday to Friday, 10 am to 6:30 pm CST

Role Responsibilities:

1. Makes outbound and receives inbound calls regarding eligibility services and conducts screenings.
2. Interviews patients/members via phone to gather personal and sensitive information for eligibility determination.
3. Interprets and explains eligibility requirements and application details.
4. Clarifies eligibility data with patients/members.
5. Records and evaluates personal and financial data for completeness and accuracy.
6. Uses computer systems to complete eligibility screenings and manage accounts.
7. Refers patients/members to other agencies for assistance when appropriate.
8. Monitors actions to ensure goals are met.
9. Adheres to information security policies and completes annual security and compliance training.

Role Requirements:

• Fluent in Spanish and English (reading, writing, speaking) preferred.
• At least 1 year in a call center environment, handling inbound and outbound calls.
• Experience with call queues and customer service.
• Empathy and a desire to help others.
• Ability to work independently in a private and quiet environment.
• Strong attention to detail and follow-through skills.
• Experience in healthcare or government benefits is a plus.
• Proficient in MS Office (Outlook, Word, Excel, Teams).
• Excellent communication and customer service skills.
• Ability to track, monitor, and retrieve call information.

We offer a rewarding work environment with competitive compensation, comprehensive benefits including paid time off, 401(k), tuition reimbursement, health plans, volunteer opportunities, and development programs. This position is bonus eligible. Our policy may require vaccination proof for some roles, with accommodations available as per law.