Bilingual Part-Time Consumer Services Rep (English/Spanish)

nirvanaHealth, LLC; Tampa (FL); Sur place; USD 28 000 - 30 000; Temps partiel

Résumé du poste

nirvanaHealth, LLC is hiring a Part Time Consumer Services Representative in Tampa, FL. The role handles member, pharmacy, and provider inquiries by phone and written communication in a high-volume environment.

Required 1-3 years in customer service (healthcare or call center preferred); bilingual in English and Spanish; basic PC skills and strong communication abilities are essential. Knowledge of Medicare and Medicaid payers is a plus.

Qualifications

• High School Diploma or Equivalent required.
• Associate's or Bachelor's Degree preferred.
• Must be fluent in English & Spanish (bilingual).
• 1-3 years of Customer Service experience required.
• 1-3 years of Call Center or healthcare experience preferred.
• MediCare experience strongly preferred.
• Basic PC skills and Microsoft Office proficiency expected.

Responsabilités

• Triage member, pharmacy, and provider inquiries via phone and written communication.
• Document all inquiries accurately for continuous improvement.
• Communicate issues and resolutions to members, pharmacy personnel, providers, and internal staff.
• Follow internal policies to ensure consistency and operational effectiveness.
• Resolve inquiries using judgment and problem-solving skills.
• Monitor ticketing system and respond to internal and external inquiries.
• Assist in training materials and documentation.
• Keep up to date with health care industry trends and regulatory changes.
• Understand health insurance benefit details for commercial, Medicare, and Medicaid payers.
• Assist with Prior Authorization call back requests.
• Follow regulatory and credentialing standards as trained.

Formation

High School Diploma or Equivalent

Associate's or Bachelor's Degree

Outils

Spanish language proficiency

Description du poste

nirvanaHealth, LLC is hiring a Part Time Consumer Services Representative in Tampa, FL. The role handles member, pharmacy, and provider inquiries by phone and written communication in a high-volume environment.

Required 1-3 years in customer service (healthcare or call center preferred); bilingual in English and Spanish; basic PC skills and strong communication abilities are essential. Knowledge of Medicare and Medicaid payers is a plus.