[Remote] Healthcare Customer Service Specialist- BILINGUAL
Note: The job is a remote job and is open to candidates in USA. GetixHealth is seeking a Bilingual Customer Service Representative to join their team. The role involves handling high-volume inbound and outbound calls related to billing, payments, medical claims, and coverage while ensuring exceptional service and compliance with regulations.
Responsibilities
- Must be bilingual (Spanish)
- Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions
- Respond to telephone inquiries using standard procedures and scripts
- Gather required information, research account details, and resolve customer concerns accurately and promptly
- Clearly explain billing information, insurance benefits, and available services to patients
- Assess patient needs and provide appropriate solutions or escalate issues when necessary
- Schedule work to ensure optimal call coverage and maintain daily productivity
- Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals
- Support department initiatives and contribute to continuous improvement efforts
- Maintain strict adherence to HIPAA regulations and confidentiality policies
- Assist with department goals and recommend improvements to enhance efficiency
- Perform other duties as assigned to support the team and organizational success
Skills
- Must be bilingual (Spanish)
- High School Diploma or GED required; additional education is a plus
- 1–2 years of customer service experience required
- Strong verbal, written, and interpersonal communication skills
- Excellent problem-solving abilities with a calm, empathetic approach
- High attention to detail and accuracy
- Ability to work independently and collaboratively to meet and exceed performance goals
- Comfort using Microsoft Office Suite and adapting to new technologies
- Strong attendance and reliability
- Healthcare, insurance, or medical collections experience preferred
- Familiarity with Medicaid, Medicare, Workers' Compensation, and liability claims preferred
- Basic understanding of medical terminology and the healthcare revenue cycle
- Proven experience working with multiple systems and databases in a fast-paced environment
- Bilingual abilities are a plus
- Applicants in Pacific or Mountain Time Zones Preferred
Benefits
- Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
- Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
- 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service.
- Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
- Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.
Company Overview