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Bilingual Spanish Resolution Specialist
Location
United States
Posted
26 days ago
Salary
$41.6K - $57.6K / year
Seniority
Junior
Job Description
Bilingual Spanish Resolution Specialist
Alignment Health
• Provide member issue resolution managing and resolving healthcare insurance claims. • Intake complex member cases and provide prompt and satisfactory resolution. • Decrease turnaround time, improve the quality of resolution, and manage barriers to resolution. • Serve as a subject matter expert in escalated member calls. • Identify process improvement opportunities within the member engagement department. • Conduct outbound phone calls and/or receive inbound phone calls. • Collaborate with partners and other departments to facilitate the member experience. • Document real-time and conduct timely wrap-up to support outcomes reporting.
Job Requirements
- Minimum (1) year healthcare experience and / or training required; 3-4 years of healthcare experience / training required.
- Minimum (1) year outbound call center experience.
- Experience helping members navigate access to care through Medicare Advantage or HMO.
- Experience helping members navigate their Medicare Advantage benefits.
- High school diploma or general education degree (GED); or equivalent combination of education and experience.
- Intermediate proficiency in Microsoft Office Suite (Outlook, Word, Excel).
- Bilingual English and Spanish, Chinese (Mandarin or Cantonese), or Vietnamese.
- Independent, motivated, self-starter who can prioritize work assignments.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
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