Spanish Bilingual Healthcare Representative - Remote

Jobs for Humanity; Georgia; Remote; USD 25,000 - 33,000; Full time

Benefits offered by this job

Competitive hourly pay

Health insurance

Remote work

Career growth

Job summary

VXI Global Solutions is seeking a Spanish bilingual Healthcare Call Center Representative to assist members, providers, and patients with benefits and services. Work from home, handling inquiries in Spanish and English while upholding HIPAA and privacy standards.

You will document interactions, coordinate issue resolution, and explain plan benefits, networks, and coverage. Strong communication, empathy, and problem-solving are essential for success in this role.

Qualifications

• Fluency in both Spanish and English is required.
• Minimum of two years in customer service or healthcare member interaction.
• Healthcare/health insurance experience preferred.
• High school diploma or GED required.

Responsibilities

• Manage inquiries in Member Services, Medicare, and Billing in Spanish and English.
• Document all queries and resolve complex calls promptly.
• Explain health plan benefits, networks, and coverage to members.
• Maintain HIPAA privacy and comply with company policies.
• Meet call center KPIs and strive for first-contact resolution.
• Navigate CRM, EMR/EHR, and ticketing platforms efficiently.

Skills

Bilingual Spanish-English

Customer service

Healthcare familiarity

Call center

Typing 35 WPM

Education

High School Diploma or GED

Tools

CRM

EMR/EHR

Ticketing systems

Job description

VXI Global Solutions is a BPO leader in customer service, customer experience, and digital solutions. Founded in 1998, the company has 40,000 employees in more than 40 locations in North America, Asia, Europe, and the Caribbean. We deliver omnichannel and multilingual support, software development, quality assurance, CX advisory, and automation & process excellence to the world's most respected brands.

Are you fluent in both Spanish and English? Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!

As a Spanish Bilingual Healthcare Call Center Representative,you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.

What You'll Be Doing:

• Customer Interactions:

  
  
  
  

  • Manage inquiries in areas such as Member Services, Medicare, and Billing, assisting Spanish- and English-speaking customers.

  
  

  • Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.

  
  



• Quality Service:

  
  
  
  

  • Uphold the organization’s philosophy of extraordinary customer relations.

  
  

  • Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.

  
  



• Problem Resolution:

  
  
  
  

  • Analyze and evaluate customer issues to initiate and coordinate service recovery measures.

  
  

  • Document all member interactions meticulously following established procedures.

  
  



• Healthcare Knowledge

  
  
  
  

  • Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).

  
  

  • Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.

  
  



• Operational Excellence

  
  
  
  

  • Leverage a thorough understanding of company policies and processes to meet customer needs effectively.

  
  

  • Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.

  
  



• Performance Metrics:

  
  
  
  

  • Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.

  
  



• Compliance and Ethics:

  
  
  
  

  • Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.

  
  

  • Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.

  
  



• Tools and Systems:

  
  
  
  

  • Use multiple systems/screens while assisting callers effectively

  
  

  • Navigate CRM, EMR/EHR, and ticketing platforms effectively

  
  

What You Bring:

• Experience:

  
  
  
  

  • Fluency inboth Spanish and English(spoken and written) is required.

  
  

  • Minimum of two (2) years of customer service or healthcare member-interaction experience.

  
  

  • Previous call center experience and/or prior experience in the health insurance industry (preferred).

  
  



• Education:

  
  
  
  

  • High School Diploma or GED required.

  
  



• Skills:

  
  
  
  

  • Outstanding written and verbal communication skills.

  
  

  • Proven analytical and problem-solving abilities.

  
  

  • Ability to respond concisely and clearly to customer queries.

  
  

  • Strong critical thinking and problem-solving skills.

  
  

  • Typing speed of at least 35 WPM with a 5% or lower error rate.
    

  
  

Success Factors for Working from Home

• To thrive in this remote role, you’ll need:

• Private Workspace:A dedicated, quiet workspace with a door that closes, free from ambient noise.

• Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.

• Reliable Internet Connection: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.

• Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.

• Tech-Savvy: Comfort with technology and ability to learn new systems quickly.

• Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment.

• Communication Skills: Strong verbal and written communication skills, especially in a virtual setting.

• Adaptability: Ability to adapt to changing technologies and procedures while working remotely.
  

What You Will Get:

• Competitive Pay:Enjoy a competitive hourly rate with opportunities for performance-based increases.




• Comprehensive Benefits:Full health insurance coverage, including medical, dental, and vision plans.




• Work Environment:A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.




• Career Growth:Abundant advancement opportunities within the organization.




• Inclusive Workplace:We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.




• Unique Perks:

  
  
  
  

  • Cell Phone Benefits:$25/month per line for unlimited phone, text, and data (restrictions may apply).

  
  

  • Referral for Life Program:Earn residual bonuses for referring employees who join the team and remain with the company.

  
  

Join Our Team:

If you are a motivatedSpanish-English bilingualprofessional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

All your information will be kept confidential according to EEO guidelines.