Bilingual - Spanish Eligibility Representative

Remote Bilingual (Spanish) Eligibility Specialist

**Remote Anywhere in US**

Description:

• Interact with health plan members through outbound and inbound telephonic contact to review and assess health plan member’s eligibility for services.

• Contribute to the department’s success by achieving business goals .

o Achieve daily, weekly, and monthly quality and production goals.

o Adhere to call handling process.

o Adhere to call quality standards by ensuring proper phone etiquette and adherence to scripts, make accurate and descriptive system documentation.

• Follow-up with members as assigned.

• Adhere to assigned schedule.

• Review all correspondence sent by Optum and management with current information of state and federal regulatory requirements.

• Review all correspondence sent by Optum and management with updates on the organization.

• Comply with all company and department operational guidelines and policies.

• Participate in Optum staff and operational development programs as assigned.

• Performs other duties as assigned.

• Efficiently manage customer calls and multiple computer application

• Receptive to feedback from management on coaching opportunities

• Ability to provide quality customer service during every interaction with health plan member’s

• Maintain a confident, helpful, and positive tone on all calls

• Excellent data entry and internet navigation skills

• Professional demeanor and dependable work ethic

• Ability to work independently.

• Demonstrates patience and empathy.

• Business demeanor and skills with the ability to communicate effectively (verbal, written and listening skills).

• Promote company services in an outbound call center (production driven) environment.

• Professional behavior with courteous, polite, and energetic qualities.

• High commitment to accuracy, high-quality work, and detail-oriented.

• Must be driven and motivated to exceed individual and team goals.

• Able to learn and adapt to changing environments, applications, and software.

Skills:

Call center, Medicaid, Appointment scheduling, Insurance verification, Customer service, Bilingual, Health care

Top Skills Details:

Call center,Medicaid,Appointment scheduling,Insurance verification

Additional Skills & Qualifications:

Education: High School Diploma or Equivalent

2–3-year External Sales/Customer Service OR Call Center Internal 2-3 years