Skip to Main Content

Bilingual Medical Plan Specialist *FULLY REMOTE*

Contemporary Staffing Solutions
Houston, TX
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Multiple Call Center professionals are needed for the remote Bilingual Member Plan Specialist Position. As the Bilingual Member Plan Specialist, you will primarily be responsible for assisting members or providers with health plan solutions.

 

Responsibilities of the Bilingual Member Plan Specialist Include:

  • Respond to client communications, concerns, follow-up, and inquiries efficiently to ensure highest level of satisfaction and work closely with our Client Services team to assure customer satisfaction.
  • Serve as the go-to resource for CRMs on client's product and process knowledge and collaborate with team mates to help them the deliver best possible service experience for the client.
  • Understand product and program guidelines and working to educate CRMs and customers on the capabilities of and best practices for client.
  • Serve as the liaison to the support organization for client knowledge, and for appropriately managing escalations.
  • Guide and support the member through the balance bill defense process while working closely with our client, Client Services, our legal team and external stakeholders to facilitate timely issue resolution and ensure a positive member experience.
  • Manage assigned member caseload via high-touch advocacy model with a focus on elevating the member experience and promoting engagement.
  • Interaction with all internal teams to assist in overall customer satisfaction and partner with the CRM team and the client to identify success criteria and create action plans to achieve desired results.
  • Handle and coordinate elevated internal and external member issue resolution with confidence and a sense of urgency. Act as point person for member inquiries, issues and concerns. Direct, quarterback and ensure timely issue resolution and remediation

 

Requirements of the Bilingual Member Plan Specialist Include:

  • 2+ years of experience in service-based environment supporting healthcare members or providers with claims, insurance, medical, healthcare, benefits, or relevant health plan items - REQUIRED
  • High School Diploma or GED
  • Bilingual (Spanish)
  • Someone who is empathetic, patient, and understanding
  • Knowledge of Medical Benefits packages and terminology
  • Ability to follow HIPAA Regulations and proven integrity/confidentiality is A MUST!
  • A quiet environment to effectively work remotely and handle highly sensitive conversations.
  • Excellent written and verbal communication skills
  • High Speed Internet
Company Description
Contemporary Staffing Solutions (CSS) is a company that exudes unwavering results with urgency, honesty, and integrity. CSS has been a leading provider of contract, temporary, and direct hire solutions. Nationally supporting Salesforce Projects & Managed Services and staffing solutions with a focus in Accounting & Finance, Human Resources, Sales & Marketing, Information Technology, Salesforce, and Call Center & Office. Everyone at CSS operates with pro-active pipelines, the highest business ethics, a winning spirit in our approach, and a team-oriented workflow with real cross-training. The CSS team coaches you with current business intelligence so that we can timely deliver solutions to meet your expectations. Our testimonials on our website tell the story from our clients and candidates—check them out!

Contemporary Staffing Solutions

Contemporary Staffing Solutions (CSS) is a company that exudes unwavering results with urgency, honesty, and integrity. CSS has been a leading provider of contract, temporary, and direct hire solutions. Nationally supporting Salesforce Projects & Managed Services and staffing solutions with a focus in Accounting & Finance, Human Resources, Sales & Marketing, Information Technology, Salesforce, and Call Center & Office. Everyone at CSS operates with pro-active pipelines, the highest business ethics, a winning spirit in our approach, and a team-oriented workflow with real cross-training. The CSS team coaches you with current business intelligence so that we can timely deliver solutions to meet your expectations. Our testimonials on our website tell the story from our clients and candidates—check them out!

Address

Houston, TX
USA

Industry

Business

Website

View all jobs at Contemporary Staffing Solutions