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Bilingual - Spanish Eligibility Representative

Aston Carter

Posted Thursday, July 13, 2023

Posting ID: JP-003902616

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Miramar, FL
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Remote Bilingual (Spanish) Eligibility Specialist

**Remote Anywhere in US**


• 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.


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

Contact Information

Recruiter: Brandon Golonka

Phone: +14124899829


The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Tag icon for RemoteRemote
appointment scheduling
call center
customer service
insurance verification
health care