Bilingual Commercial Health Call Center Representative (Spanish)

Location: Remote within the United States; candidates must reside in the CST or EST time zones. Company business hours are weekdays from 9:00 to 17:00 CST. A dedicated private work area and high-speed internet are required.

Salary: $55,000 per year

Company

hirify.global is the major medical division of Globe Life, providing technology-enabled commercial health plans focused on benefits access, transparency, and personalized member support.

What you will do

• Research, review, and respond to member and provider inquiries about benefits, eligibility, claims, and billing.
• Handle inbound and outbound calls, email inquiries, complaints, and complaint appeals with patience and empathy.
• Manage escalations through resolution while coordinating with Claims, Medical Management, Appeals and Grievance, vendors, providers, and business partners.
• Document calls accurately, identify inquiry trends, and recommend process improvements to leadership.
• Help members navigate the member portal and encourage self-service.
• Meet department production, quality, attendance, and schedule-adherence standards in a virtual work environment.

Requirements

• At least two years of customer service experience supporting a commercial health plan; experience limited to Medicare, Medicaid, or pharmacy is not sufficient.
• Must live and work in the United States in the CST or EST time zone.
• Fluency in both English and Spanish is required.
• Knowledge of medical and insurance terminology, including CPT/ICD-10, HCPCS, and Revenue Codes.
• Experience with claims, medical management, appeals and grievance operations, CRM systems, and preferably Salesforce.
• Strong written and verbal communication, attention to detail, problem-solving, and Microsoft Office skills.

Culture & Benefits

• Fully remote work environment with virtual team huddles, supervisor one-to-ones, instant messaging, and regular check-ins.
• Health, dental, vision, life, and disability insurance.
• Retirement savings plan with company match.
• Generous paid time off and vacation.
• Professional development opportunities.