Bilingual Call Center Customer Service Representative - Healthcare - Eligibility & Claims

About this kind of role

What a Bilingual Call Center Customer Service Representative - Healthcare - Eligibility & Claims usually does. The employer's own details are in the listing.

Typically does: Handles inbound calls from patients and providers to address questions regarding health insurance eligibility and claims. Explains benefits coverage, processes claim inquiries, and assists with resolving discrepancies. Documents interactions accurately and follows established procedures to ensure compliance. May escalate complex issues to specialized teams for further investigation and resolution.

Tools and skills: Proficiency in both English and a second language (such as Spanish), experience with call center software, claims processing systems, and strong customer service and communication skills are generally required.

Good fit for: Individuals who are detail-oriented, empathetic, and thrive in a fast-paced environment while providing excellent service are often successful in this role.