Bilingual Customer Service (Spanish)

Immediate need for a talented Bilingual Customer Service (Spanish). This is a 06+months contract opportunity with long-term potential and is located in McAllen, TX (Remote; CST). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-59472
 
Pay Range: $16 - $17/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities: 

• Spanish test link:
  https://hire.glider.ai/assess/34698189
• Note: During training period 3-4 weeks in person. After that remote but may have to go back to McAllen office upon business needs
• Shift Timings: 8am - 5pm
• Work week: Monday – Friday
• Training: Remote but training onsite
• Call center type role, making outbound and receiving inbound calls (daily goal of at least 30 members or more per day)
• Speaking with members and legal representatives
• Purpose of call: to schedule assessments
• Initiate authorization requests for output or input services in keeping with the prior authorization list.
• Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.
• Assess and monitor inpatient census.
• Screen for eligibility and benefits.
• Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment.
• Perform transition of care duties to include but not limited to contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
• Coordinate services with community-based organizations.
• Attend marketing and outreach meetings as directed to represent the plan.
• Produces and mails routine CM letters and program educational material.
• Data enter assessments and authorizations into the system.
• Please lock them down on being timely and professional, attendance is critical.
• 28 members/day (attempting to schedule or actually scheduling them)
• Strict turnaround time for this department – if not met, subject to potential damages by the state
• Fast-paced environment and expected to follow up within a certain timeframe
• Have experience in handling high call volume.
• Tell me about what their first day looks like:
• Will log in from home. Equipment should have been shipped prior 1st day. 
• Provide an overview of what the team does.
• Go over rules/expectations.
• Training is in-house and with a set trainer
• Candidates to text manager once started on first day
• Will be setting up equipment, contacting Service Desk if needed
• Once activated in the system, connect with Manager and Team Lead
• Client University training modules to complete compliance items
• Slotted lunch time and break times

 
Key Requirements and Technology Experience: 

• Key skills; outbound call, outreach members, call center
• Good customer services skills.
• Call center experience may benefit as we do outbound calls all day as well as receive inbound calls.
• Fast-paced environments, not just working at own pace in a doctor’s or medical office without being held to strict deadlines
• Home health or managed care experience was previously required, but we are willing to train on this and open a wider net for candidates like other managers in this area!
• High call volume experience. Need to be comfortable with this, does not necessarily need the experience previously.
• Previous appointment scheduling experience
• Customer Service experience
• Computer literate, good typing skills (send candidate typing test if you are concerned on this skill with a candidate)
• Bilingual (Spanish) required
• High school diploma or equivalent

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. 

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