Remote Bilingual Spanish Customer Experience Specialist

alignmenthealthcare; United States; Remote; USD 23,000 - 32,000; Full time

Job summary

Alignment Healthcare in the United States seeks a bilingual customer support specialist to help older adults and people with disabilities access health plan services with empathy and clarity. You will manage inquiries from first contact to resolution, explain benefits and eligibility, document outcomes, and coordinate with teams to resolve issues in a compliant, member‑focused way.

This remote role requires Spanish fluency, accuracy in records, ability to handle high volumes, and comfort with

Qualifications

• Fluent in Spanish (speaking, reading, writing).
• 2+ years in customer service or member support; healthcare/Medicare Advantage preferred; degree may substitute.
• High school diploma or GED; college degree preferred; 3+ years experience may substitute.
• Warm, clear communication with empathy and patience; ability to handle high call volumes and sensitive interactions.
• Proficient with CRM and contact center tools; able to follow workflows and type at least 35 WPM.

Responsibilities

• Respond to questions about benefits, eligibility, policies, services, provider networks, and claims or reimbursements.
• Guide members through support options including transportation, food, and dental benefits; clarify next steps.
• Handle incoming contacts within service targets; resolve issues or coordinate follow-up and escalation.
• Address complaints, grievances, and disenrollment concerns by listening for root causes and solving problems.
• Keep accurate records of interactions and outcomes; support member outreach and education efforts.
• Engage in coaching and development while meeting quality, attendance, and schedule expectations.

Skills

Spanish fluency

Customer service

CRM tools

Typing 35 WPM

Education

High school diploma or GED

Associate or Bachelor's degree preferred

Tools

CRM systems

Office software

Contact center tools

Job description

Role overview

Help older adults and people with disabilities understand and access health plan services through thoughtful, bilingual customer support. You will manage member inquiries from the initial conversation through resolution, explaining complex topics clearly and responding to concerns with empathy and professionalism.

Responsibilities

• Respond to questions about benefits, eligibility, policies, services, provider networks, and claims or reimbursements.
• Guide members through available support, including transportation, food, and dental benefits, and clarify possible next steps.
• Handle incoming contacts within service targets, resolving issues directly or coordinating follow-up and escalation.
• Address complaints, grievances, and disenrollment concerns by listening for root causes and working toward solutions.
• Keep accurate records of interactions and outcomes, and support member outreach and education efforts.
• Engage in coaching and ongoing development while meeting quality, attendance, and schedule expectations.

Requirements

• Fluency in Spanish, including speaking, reading, and writing.
• At least two years of customer service, contact center, or member support experience; healthcare or Medicare Advantage experience is preferred. Relevant college coursework or an associate or bachelor’s degree may substitute for experience.
• High school diploma or GED; a college degree is preferred. Three or more years of customer service experience may be considered in lieu of a degree.
• Warm, clear communication, empathy, patience, accurate documentation, and the ability to manage high call volumes and sensitive interactions.
• Skill in navigating multiple systems, including office software, CRM, and contact center tools; able to follow detailed workflows and type at least 35 WPM.
• A private, distraction-free workspace, reliable internet and equipment, and availability for on-camera meetings and flexible shifts.

Nice to have

• Knowledge of Medicare Advantage, Medi-Cal, or managed care plans.

Benefits and work setup

• Remote work is limited to locations within the contiguous United States.
• The listing gives an hourly rate of $20.