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Member Service Representative
Bilingual Spanish
Posted on 1/20/2023
INACTIVE
Locations
Remote
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Customer Service
Communications
Requirements
  • Supports inbound/outbound phone calls from members or providers
  • Accurately documents all member or provider calls
  • Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed
  • Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations
  • Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the member or provider's needs
  • Achieves individual performance goals established for this position in the areas of, call quality, attendance, schedule adherence and individual performance goals as it relates to call center objectives
  • Engages and collaborates with other departments
  • Demonstrates personal responsibility and accountability by taking ownership of the call and following it through to resolution, on behalf of the customer, in real time or through timely follow up with the member and/or provider to escalate issues based on established risk criteria
  • Responds to and resolve the customers inquiries by identifying the topic and type of assistance the caller needs such as assistance involving their eligibility, ID cards, Member, PCP changes, and personal information updates etc
  • Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits
  • Proactively engages and collaborates with other departments as required
  • Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations
  • Communicates professionally
  • Must have at least High School diploma
  • Bilingual and fluent in Spanish - required, language will be tested for fluency
  • Computer skills to include word processing and excel
  • Must have strong verbal, written, and interpersonal communication skills
  • Must have excellent customer service skills and demonstrate respect, patience, and helpfulness with customers and co-workers
  • Must be responsible, detail-oriented, and professional
  • Must understand and comply with HIPAA (patient privacy) regulations
  • Prior experience in a customer service environment and/or familiarity with the medical/healthcare industry is preferred but not required
Bright Health

1,001-5,000 employees

Affordable personalized health insurance
Company Overview
Bright Health's mission is to make healthcare right. They believe quality health insurance should be simple, personal, and affordable. So they design easy-to-understand plans with benefits you'll actually use. Benefit-packed plans and surprisingly low rates mean you can focus on staying happy and healthy.
Benefits
  • Compensation and retirement - Performance bonus, Stock Options, 401k plan, 401k matching, Commuter assistance plans
  • Health and wellness - Health insurance, Dental insurance, Vision insurance, Life insurance, Disability insurance, FSA (Flexible Spending Plan), EAP (Employee Assistance Program)
  • Vacation and time off - Unlimited time off, Paid holidays, Flexible working hours, Maternity benefits, Paternity benefits
  • Values and quality of life - Public Transportation, Bike parking, Employee groups and committees, Snacks and beverages
Company Core Values
  • Be brave - Challenge the status quo with curiosity, courage, and tenacity
  • Be brilliant - Deliver predictable excellence with a learning mindset
  • Be accountable - Live by your word, always
  • Be inclusive - Value all voices and contributions to achieve big things
  • Be collaborative - Fearlessly partner with all people