Remote Bilingual Spanish Member Experience Specialist

Alignment Health; United States; Remote; USD 42,000 - 58,000; Full time

Job summary

Alignment Health is seeking a Customer Experience Specialist to deliver compassionate, seamless service to our senior members. This remote role requires HIPAA compliance and resolving issues correctly the first time, while building caring connections across the member experience.

You will handle inquiries about benefits, eligibility, services and policies, document interactions in real time, and support outreach to improve engagement.

Qualifications

• Bilingual in Spanish (read, speak, write).
• 2+ years customer service or contact center experience, preferably in healthcare/Medicare Advantage.
• Proficient with Microsoft Outlook, Word, Excel, CRM and contact center tools.

Responsibilities

• Build caring connections with members with empathy, patience and respect.
• Own each member interaction end-to-end and resolve inquiries on first contact.
• Deliver exceptional service and aim for first-call resolution.
• Respond to inquiries about benefits, eligibility, services and policies clearly and confidently.
• Assist with provider network and claim/reimbursement inquiries and related questions.
• Answer incoming contacts within service levels and manage complex situations professionally.
• Document all interactions in real time for accuracy and continuity of care.
• Address complaints, grievances and disenrollment concerns with problem-solving and escalation when needed.
• Support outbound outreach initiatives to improve engagement and education.
• Represent Alignment Health with integrity and a serving-heart mindset.
• Participate in coaching and feedback to strengthen service skills.

Skills

Spanish bilingual

Customer service

HIPAA compliance

Education

High school diploma or GED

College degree preferred

Tools

Microsoft Outlook

Excel

CRM

Job description

Alignment Health is seeking a Customer Experience Specialist to deliver compassionate, seamless service to our senior members. This remote role requires HIPAA compliance and resolving issues correctly the first time, while building caring connections across the member experience.

You will handle inquiries about benefits, eligibility, services and policies, document interactions in real time, and support outreach to improve engagement.