Call Center Operations, Call Centers, Communication Skills, Computer Skills, Customer Experience, Customer Relations, Customer Satisfaction, Customer Support/Service, Detail Oriented, English Language, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan Membership, Healthcare, High School Diploma, Identify Issues, Information Technology & Information Systems, Information/Data Security (InfoSec), Insurance, Insurance Claims, Leadership, Maintain Compliance, Managed Care, Medicaid, Medical Terminology, Multilingual, Multitasking, Operations, Organizational Skills, Presentation/Verbal Skills, Problem Solving Skills, Professional Services, Service Delivery, Spanish Language, Team Player, Time Management
Bilingual Call Center Representative
Location: Bellaire, TX
Pay Rate: Starting at $20.00/hour
Schedule: Monday-Friday | 7:00 AM - 6:00 PM
Dean's Professional Services is seeking a customer-focused and detail-oriented Bilingual Call Center Representative to support a leading healthcare organization in Bellaire, TX. This role is ideal for professionals who thrive in a fast-paced call center environment and are passionate about delivering exceptional service to health plan members and providers. As the first point of contact, you will assist with eligibility, benefits, authorizations, claims, referrals, appointment scheduling, and issue resolution while ensuring an outstanding customer experience.
Responsibilities
- Serve as the primary point of contact for health plan members and providers, responding to inquiries regarding eligibility, benefits, authorizations, claims, referrals, and other healthcare services
- Investigate and resolve member and provider questions by researching information across multiple systems and collaborating with internal departments
- Advocate for members and providers by facilitating timely resolution of concerns and ensuring a positive customer experience
- Assist members with appointment scheduling and navigation of healthcare resources
- Accurately document all customer interactions, case details, and resolutions in EPIC, MACESS, or other applicable systems
- Complete assigned work queues and after-hours call center notifications within established service standards
- Verify caller identity and maintain strict HIPAA compliance before discussing protected health information (PHI)
- Identify issues requiring escalation and communicate concerns to leadership for prompt resolution
- Support daily call center operations while consistently meeting quality, productivity, and customer satisfaction goals
- Demonstrate professionalism, empathy, and excellent communication during every customer interaction
Qualifications
- High School Diploma or GED required
- Minimum one (1) year of customer service experience in a managed care, Medicaid, insurance, or healthcare call center environment required
- Bilingual in English and Spanish required
- Medicaid experience required
- Knowledge of managed care, health insurance, claims, referrals, and authorizations preferred
- Knowledge of medical terminology preferred
- Strong verbal communication, active listening, and customer service skills
- Excellent problem-solving, multitasking, and organizational abilities
- General computer proficiency with the ability to type at least 35 words per minute
- Ability to work independently and collaboratively in a fast-paced call center environment
Why Join Dean's Professional Services?
- Competitive pay with a comprehensive benefits package (medical, dental, vision, and 401(k))
- Consistent weekday schedule supporting work-life balance
- Opportunity to support a leading healthcare organization and make a meaningful impact on member care
- Collaborative, professional, and customer-focused team environment
- Career growth opportunities with a nationally recognized healthcare staffing firm
Dean's Professional Services is a national, award-winning staffing firm. Since 1993, we have placed over 50,000 professionals nationwide by connecting top talent with leading organizations-focused on long-term success and cultural fit.
Apply today at www.deansprofessionalservices.com or call 713-785-7483 for more information.
Healthcare Staffing | Dean's Professional Services | United States
Dean's Professional Services is a national, award-winning staffing firm providing temporary, temp-to-hire, and direct hire staffing solutions across healthcare and professional industries.
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Dean's Professional Services