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Experienced Bilingual Healthcare Customer Service Representative – Full-Time Remote Opportunity with Comprehensive Benefits and Professional Growth

Remote, USA Full-time Posted 2025-11-03

Welcome to blithequark

At blithequark, we are passionate about delivering exceptional customer experiences and making a positive impact in the lives of our clients and their customers. As a leader in the customer experience industry, we empower our employees to reach new heights and grow our business to make a global impact. Our can-do culture is built on the principles of innovation, teamwork, and a relentless pursuit of excellence. If you are an exceptional listener, a creative problem solver, and a passionate advocate for customer satisfaction, we invite you to join our team of dedicated professionals.

About the Role

We are seeking a highly skilled and experienced Bilingual Healthcare Customer Service Representative to join our team. As a remote worker, you will have the opportunity to work from the comfort of your own home, providing top-notch support to our clients and their customers. Your primary responsibility will be to answer inbound calls in both English and Spanish, addressing questions and concerns regarding healthcare benefits, pre-authorizations, copayments, and prescription plan coverage. You will be the face of our company, and your exceptional communication skills, empathy, and willingness to help others will make a significant difference in the lives of our customers.

Key Responsibilities

  • Answer inbound calls in both English and Spanish from US customers and address questions and concerns regarding their healthcare benefits
  • Actively listen to customers to understand their concerns and build a rapport that will make them feel heard and cared for
  • Provide essential information to members regarding access to care issues, benefits, proof of coverage, member handbook, and other relevant topics
  • Guide callers through troubleshooting, navigating self-service options, and using products or services
  • Utilize client-specific knowledge systems to research and review multiple documents to better serve the customer while keeping the customer engaged
  • Follow instructions provided through documented processes and procedures to ensure all compliance is met for government audits
  • Empathize and resolve concerns to simplify the customer's healthcare experience
  • Navigate through multiple computer applications with speed and accuracy
  • Adapt to learn new call types when business needs change and flex support in those areas

Requirements

To be successful in this role, you will need to possess the following essential qualifications:

  • 18+ years and a high school diploma or its equivalent
  • Fluency in both English and Spanish
  • Minimum of 1 year of previous experience as a health plan call center agent (member service, provider service, pharmacy plan member service)
  • Medicare and/or Medicaid experience would be a plus
  • Exceptional customer service, active listening, and verbal and written communication skills
  • High computer proficiency and navigation of multiple applications
  • Willing to work any shift between 10:00am-1:00am 7 days a week Eastern standard time + holidays and weekends (on holidays, extend hours 24/7 to small staff)
  • Professional positive attitude and courteous telephone etiquette
  • Customer-focused personality and a desire to help people

Preferred Qualifications

  • Previous experience working in a remote or virtual environment
  • Knowledge of healthcare benefits, pre-authorizations, copayments, and prescription plan coverage
  • Experience with customer relationship management (CRM) software and other technology platforms
  • Certifications or training in customer service, healthcare, or a related field

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

  • Excellent communication and interpersonal skills
  • Strong active listening and problem-solving skills
  • Ability to work in a fast-paced environment and adapt to changing situations
  • Strong technical skills and ability to navigate multiple computer applications
  • Ability to work independently and as part of a team
  • Strong attention to detail and ability to maintain accuracy and quality in a high-volume environment

Career Growth and Learning Benefits

At blithequark, we are committed to the growth and development of our employees. As a Bilingual Healthcare Customer Service Representative, you will have access to:

  • Paid, virtual training and ongoing coaching and support
  • Opportunities for professional development and advancement
  • Access to a wide range of training and development programs
  • A culture that encourages innovation, creativity, and experimentation

Work Environment and Company Culture

At blithequark, we pride ourselves on our positive and inclusive company culture. As a remote worker, you will be part of a dynamic and supportive team that values collaboration, creativity, and mutual respect. Our company culture is built on the principles of:

  • Respect and empathy for our customers and each other
  • A commitment to excellence and continuous improvement
  • A culture of innovation and experimentation
  • A focus on employee well-being and work-life balance

Compensation, Perks, and Benefits

As a Bilingual Healthcare Customer Service Representative at blithequark, you will be eligible for a competitive salary and a range of benefits, including:

  • Bi-lingual Spanish $16 per hour + overtime during peak needs
  • Access up to 50% of your pay immediately after your shift
  • Health insurance (medical, dental, vision) and other benefits
  • Pet insurance
  • Paid, virtual training
  • Remote work environment
  • Opportunity for professional development

Conclusion

If you are a motivated and customer-focused individual who is passionate about delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity. At blithequark, we value diversity, equity, and inclusion, and we welcome applications from qualified candidates of all backgrounds. Don't hesitate to apply – we can't wait to hear from you!

Apply today and join our team of dedicated professionals who are making a difference in the lives of our customers every day.

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