Title: US Virtual – Spanish Bilingual Healthcare Call Center Representative Location: Remote US Full time Job Description: It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. Spanish Bilingual Healthcare Call Center Representative Location: Remote (Virtual Environment) Company: Trusted Leader in Healthcare Services 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 in both 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!

Role Description As our Patient Services Professional, you will be the welcoming voice and central administrative support, ensuring seamless patient experiences and efficient clinic operations through diverse engagements. Every day, you will expertly manage phone customer service, distribute communications, and handle patient information like demographics, insurance verification, and appointment scheduling. You'll also process referrals, authorizations, pre-registrations, and other clerical tasks, adapting to clinic needs while responsibly handling sensitive data. - Schedule and register patient appointments and/or provide information for other requests (e.g., addresses/directions, phone numbers, hours of operations, other departments, such as billing, etc.). - Process all phone, fax, email, and other communication channel requests with an emphasis on efficiency and accuracy. - As appropriate, train and handle onboarding of new members to departmental standard operating processes, explanation of available services, tools, resources, and availability of providers. - Update patients of the status of their referral or authorizations. - Answers, screens, and processes a high volume of incoming calls in a professional manner. Directs patient access to the practice by scheduling and canceling patient appointments for multiple providers. - Utilizes and adheres to a phone script, clinical decision trees and scheduling criteria following department guidelines. - Uses independent knowledge within scope of knowledge and training to determine the type of appointment needed and urgency to schedule the patient to the appropriate provider or route the call to the appropriate resource. - Communicates, to patients and internal and external ordering physicians' offices, complex exam preparations instructions including, but not limited to, appointment arrival expectations, necessary documents requirements, outstanding balances, estimated co-pays, and other necessary preparations instructions in a courteous manner. Requirements - Must reside in Arizona or Texas. - High School Graduate, upon hire or High School GED, upon hire. - Satisfactory completion of a formal Medical Assistant program or military training that is equivalent to an accredited Medical Assistant program, upon hire. - Minimum of two (2) years experience in a patient-focused healthcare environment OR high volume multichannel contact center. - Experience with computer systems, including office windows based programs and web based applications. Qualifications - Certified Medical Assistant AAMA, upon hire (preferred).

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Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Remote Customer Service Representative – Puerto Rico Must be proficient in English. Must reside in Puerto Rico to be considered. Are you passionate about helping others and delivering exceptional service? Join our dynamic team where you become the first point of contact for our client’s customers. With paid training, competitive pay at $11/hr, and a range of incentives and benefits, you'll be empowered to make a real impact every day. What We Offer: - Work From Home - Full-Time Employment: Reliable schedule and stability. - Competitive Pay: $11/hour starting on day one. - Pay is $11/hour which may be below your state's minimum wage. Please take tis into consideration when applying. - Night differential: +10% of base rate over all hours worked Monday-Sunday between 6:00PM to 6:00AM AST. - This is not a specific overnight shift, the differential applies to hours you work that fall within that time window, based on your assigned schedule. - Weekend Day Differential: $1.00 extra per hour worked on Saturdays and Sundays from 6:00AM to 6:00PM AST. - Paid Training: Get the training you need to excel. - Incentive Plan: Potential to earn up to an additional $350 per month after training by meeting performance metrics. - Career Growth: Opportunities to advance your career in a supportive, innovative environment. - Full Benefits: Comprehensive benefit options and a great work environment that values your success.  What You'll Do: - Efficiently manage a high volume of inbound calls in a fast-paced environment. - Access cardholder accounts to provide information about payments and benefits deposited by state or federal agencies. - Assist cardholders with inquiries regarding transactions and account statuses. - Listen actively to understand customer needs and offer clear, accurate information. - Process transactions efficiently via web-based applications and handle research requests with precision. - Maintain in-depth knowledge of company and client programs, policies, and technology. - Communicate in a warm, empathetic manner while ensuring confidentiality and compliance with all regulations. - Support team operations during peak times or absences to help maintain seamless service.  What We’re Looking For: - An effective communicator who can clearly explain complex information. - A dedicated professional with a strong work ethic and problem-solving skills. - A customer service enthusiast who excels in navigating multiple screens and applications while guiding customers to the best solution. - Ready to commit to 100% attendance during our three-to-five-week paid training period.  Requirements: - Must be at least 18 years old and possess a High School Diploma or equivalent. - Must have 6 months of Customer Service, Call Center or Dispatch experience. - Proficient in English. - Complete a background check, credit check, and security fingerprinting. - Internet Service: Must have a verified, secure, reliable, and high-speed internet connection to support business needs. - Work Area: Must have an established, dedicated work area equipped with a desk, chair, electrical outlet, and direct LAN connection. - Equipment: The company will provide all necessary computer equipment - Internet Speed Test: Must complete an internet speed test and achieve a minimum of 50 Mbps upload and 10 Mbps download. - Reside in Puerto Rico with legal authorization to work permanently in the United States.  Preferred Qualification: - 1+ years of previous call center experience  Take the next step in your career and join a team that values quality service and continuous growth. Apply today to become a vital part of our customer service team in Guaynabo!  Looking for more information? We’re happy to help. Visit our landing page to explore key details about the role, including shift schedules, examples of call types, FAQs, and our workspace and internet requirements. It’s a great resource to help you understand what to expect and determine whether this opportunity is the right fit for you. Landing Page: About Call Center Representative Role  Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $11.00 per hour. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:  click here to access or download the form.  Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.