Key Responsibilities
Member Experience & Retention
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Serve as primary point of contact for members
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Provide bilingual support (Spanish & English)
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Proactively engage members to support retention and satisfaction
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Resolve concerns and escalate when needed
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Build strong member relationships
Healthcare Support
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Communicate within a healthcare/health plan environment
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Assist with benefits, services, and care navigation
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Coordinate with internal teams and providers
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Ensure clear, professional, and empathetic communication
Administrative Support
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Maintain accurate member records and interaction logs
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Update CRM/systems with detailed notes
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Track issues, resolutions, and follow-ups
Coordination & Follow-Up
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Follow up on pending member concerns
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Coordinate with clinics/providers/internal teams
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Ensure timely resolution of cases
Required Qualifications
• Fluent in Spanish and English (spoken and written)
• Healthcare experience required, such as:
• Doctor’s office
• Hospital
• Clinic
• Health insurance / health plan setting
(onsite or remote experience accepted)
• Strong understanding of patient/member support workflows
• Experience in customer service, patient coordination, or member services