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US

  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
  • Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups

CRM HIPAA Excel Spanish Telehealth

20 jobs similar to Bilingual Member Services Representative (Remote, Spanish Speaking)

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US

  • Manage a defined caseload of enrolled CCM members.
  • Identify and address social determinants of health, including food access, housing resources, transportation, and community supports.
  • Partner closely with the RN and NP to surface barriers impacting care or engagement.

Pair Team is a tech-enabled medical group delivering whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities they serve. They're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care.

US

  • Answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
  • You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
  • Communicate clearly and effectively (both oral and written) with patients, clients, Team Members, peers and Leadership.

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.

US

  • Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
  • Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
  • Works as a team with the Case Manager to engage and manage a panel of SNP members

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.

US

  • Team members will perform outbound calls to enroll the person into their food box program or to reauthorize the person into the program.
  • Have a passion for helping members make decisions that will enhance their healthcare experience
  • You will be making a difference in someone’s life!

Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.

US

  • Engaging patients over the phone to deliver services, explaining clinical programs and benefits.
  • Identifying potential medication and health-related issues and escalating them to the pharmacist.
  • Answering phone calls from patients, providers, and pharmacies and responding to inquiries professionally.

Arine is a healthcare technology and clinical services company focused on ensuring individuals receive the safest and most effective treatments. They are backed by leading healthcare investors and collaborate with top healthcare organizations, managing more than 18 million lives across health plans.

US

  • Enjoy making outbound calls and reaching out to patients, members, and customers
  • Outreach to patients to schedule appointments for preventative health screenings
  • Assist members and patients with benefits and insurance information

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.

US

  • Manage multiple channel interactions professionally and efficiently.
  • Effectively present products/services to providers with integrity, understanding, and accuracy.
  • Focus on provider retention through first call resolution and maintain positive relationships.

Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.

US

  • Serve as the first point of contact for incoming calls from patients and internal teams.
  • Deliver clear explanations of insurance benefits, out-of-pocket costs, and payment options.
  • Review patient accounts and resolve billing-related concerns with professionalism and urgency.

Metro Vein Centers specializes in state-of-the-art vein treatments, with a mission to improve patients' quality of life. With over 60 clinics across 7 states, they deliver compassionate, results-driven care in a modern, patient-first environment and maintain a high patient satisfaction score.

US

  • As the first point of contact, you'll assist patients and providers.

Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They aim to set the standard for the industry and help patients live their best lives and is committed to diversity, equity, and inclusion.

LATAM

  • Act as the first point of contact for company clients.
  • Resolve complaints and prevent additional issues by improving processes.
  • Build & maintain a good relationship with assigned carriers based on trust and respect.

Bobtail aims to increase happiness by eliminating inefficiencies in the supply chain, envisioning a supply chain without friction, fraud, waste, and abuse. They value teams, collaboration, communication, iteration, experimentation, and mental health, encouraging a proactive and solutions-oriented approach.

US

  • Answer, screen, and route incoming calls to the appropriate team member
  • Maintain regular communication with clients and respond to questions
  • Request and obtain medical records and billing statements from providers

The Ward Law Group is a leader in personal injury, serving the community and driving results. They are a nontraditional, highly accountable, yet vibrant group of professionals, voted best places to work for the past two years.

2w PTO

  • Handle inbound and outbound calls to prospective clients, creating a friendly and inviting atmosphere to discuss Aetna’s Medicare plans.
  • Clearly explain Medicare options, benefits, and enrollment processes, ensuring clients feel informed and confident in their choices.
  • Take the time to understand each client’s unique needs and adapt your approach to provide tailored solutions.

Ignitist Inc, which is part of the Trucordia Insurance Services Network, provides insurance solutions to help veterans, disabled Americans, and underserved populations get access to the healthcare they need. Ignitist Inc is building a virtuous network with non-profit groups, insurance carriers and providers who share our passion for improving the quality of life for those who need it most.

US

  • Reaching out to health plan members.
  • Guiding them toward scheduling their care assessments.
  • Giving them the encouragement they need to take that next step.

Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value their team members and show it through a competitive and supportive package.

US

  • Conduct patient outreach using telephonic and other communication methods.
  • Accurately document patient communications, outreach activities, and relevant clinical information in the Electronic Health Record (EHR).
  • Educate patients on wellness, preventive care, and recommended screenings.

Lone Star Circle of Care (LSCC) strives for exceptional, equitable patient care that leads to healthier communities. They offer a friendly and fun environment for their employees.

US

  • Provides patient care modalities of evidence-based practices to best meet the clinical needs of the patients.
  • Review and signature of patient clinical Psychosocial assessment, diagnosis, treatment plan, and consents as needed for the patient in a timely manner.
  • Maintenance of the clinic record, including documentation of activities performed as part of the service delivery process.

Ascend Healthcare provides fully integrated, quality psychiatric and behavioral health services in a compassionate, convenient, and affordable manner. Ascend Telehealth brings a professional, collaborative, and rewarding workplace culture towards our goal to create a profound impact on the mental health of diverse communities.

$40,576–$60,864/yr
Europe

  • Receive and respond to telephone, email, web and other customer, country and patient inquiries.
  • Enter new customer information in Salesforce.
  • Appropriately field calls for payment collection or reimbursement and billing and process them.

Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics.

US

  • Provide outpatient services through our telehealth program.
  • Comprehensive benefits package including PTO, medical, dental and vision.
  • Additional compensation offered to bilingual candidates (Spanish)!

Brave Health expands access to compassionate, high-quality mental healthcare via technology. They are a community health-centered organization dedicated to ensuring that everyone has access to mental healthcare, especially those receiving healthcare through Medicaid and Medicare.

$55,000–$55,000/yr
US

  • Acquire and set up new meetings with target clients through cold calls and emails
  • Research companies, identify key decision-makers, and develop qualified leads for account executives
  • Maintain an accurate and up-to-date log of all prospect interaction in the CRM

PerfectServe offers Best in KLAS clinical communication and physician scheduling solutions and is a Leader in the Gartner Magic Quadrant for Clinical Communication and Collaboration. They have seen an 88% growth rate over the past three years and need strong team members to help them continue to grow!

$26–$26/hr
US Unlimited PTO

  • Provide accurate assistance to support the administrative needs of Brokers and Admins across phone and email.
  • Assist with the administrative side of onboarding and system needs for new and renewing Sana plans.
  • Address and resolve complaints or problems, such as billing discrepancies and coverage denials.

Sana is a health plan solution built for small and midsize businesses — designed around their integrated primary care service, Sana Care. They've been remote-first since day one, with a fully distributed team across the U.S., and value curiosity, ownership, and speed—building in the open, together.