Bilingual Healthcare Call Center - Remote | WFH Job at Get It - Healthcare, Mcallen, TX

aW5EZk5ZSEp1V0hzc0VRZVhwSlFzYng2bGc9PQ==
  • Get It - Healthcare
  • Mcallen, TX

Job Description

About the Role
We are looking for a motivated and compassionate Healthcare Call Center Representative to join our team. In this role, you'll provide exceptional service to members and their legal representatives, assisting with scheduling, authorizations, and care coordination. If you enjoy engaging with others, have strong organizational skills, and thrive in a fast-paced environment, this is the perfect opportunity for you.

What You'll Do
Call Management: Handle a high volume of inbound and outbound calls, with a goal of reaching 30+ members daily.
Member Support: Speak with members and legal representatives to schedule assessments and provide updates.
Prior Authorizations: Initiate authorization requests for services in line with guidelines and resolve claims inquiries.
Care Coordination:
Verify member appointments and obtain lab results.
Monitor inpatient census and screen members for eligibility and benefits.
Refer members without a Primary Care Provider (PCP) to Member Services.
Screen and prioritize members for case management assessments.
Facilitate care transitions by contacting attending physicians, members, or authorized representatives, and coordinating with medical providers and community organizations.
Outreach and Education: Attend marketing and outreach events (as directed) and send routine letters or educational materials to members.
Data Management: Enter assessments, authorizations, and other required information into the system accurately.
What We're Looking For
Experience:
High call volume experience is preferred (comfort with handling multiple calls daily is required).
Prior appointment scheduling and customer service experience.
Skills:
Strong computer proficiency and typing skills (candidates may be asked to complete a typing test).
Bilingual (Spanish) is required for this role.
Personal Attributes:
Professional, empathetic, and organized with a commitment to member satisfaction.
Why Join Us?
This role offers the chance to make a meaningful difference in people's lives by connecting them to the care and services they need. If you're ready to bring your skills to a mission-driven team, we encourage you to apply.
Employment Type: Full-Time
Salary: $ 17.00 Per Hour

Job Tags

Hourly pay, Full time, Remote job,

Similar Jobs

McCarthy Building Companies, Inc.

Construction Laborer Job at McCarthy Building Companies, Inc.

 ...participate in Task Hazard Analysis (THA) meetings~Utilize common construction materials, hand tools, and power tools (hammer, shovel, water...  ...to Safety~Work in an organized manner~Able to work night shifts when needed~Must have reliable transportation to/from... 

AtWork Personnel

Private Housekeeping | Part Time | Fuel Reimbursement | Sharonville, OH Job at AtWork Personnel

 ...Private Housekeeping | Part Time | Fuel Reimbursement | Sharonville, OH Local company looking for housekeepers. In this position...  ...the hours of 9am - 5pm. We are estimating about 15-20 hours a week on average. Pay: $15/hr paid weekly Apply today!-- IND123... 

Serenity Home Healthcare

Spanish Speaking Nurse (RN OR LPN) Job at Serenity Home Healthcare

 ...Serenity Home Healthcare, INC . is an agency seeking Nurses to provide one-on-one private duty nursing care. We honor and respect our RN's and LPN's and for us, you are not just another employee, you're part of our family! Our Nurses get 24/7 support from our experienced... 

AA Asphalting, LLC

CDL Class A, Dump Truck Driver Job Job at AA Asphalting, LLC

CDL Class A, Dump Truck Driver JobWith over 35 years of experience, AA Asphalting has become the largest Asphalt and Concrete Restoration Company in the Pacific Northwest. Our customers include Public Utilities, General Contractors, Government Agencies, Private Businesses... 

University of California, Irvine

Clinical Nurse Educator 3 (Psych) - Nursing Education - FT, Days Job at University of California, Irvine

Overview: UCI Health is the clinical enterprise of the University of California, Irvine...  ...Position Summary: The Neuropsychiatry Educator is responsible for the design and...  ...programs and professional development of nurses in their assigned nursing service; focused...