Bilingual Commercial Health Call Center Representative (Spanish)

TL;DR

Bilingual Commercial Health Call Center Representative (Customer Support): Providing comprehensive support for commercial health plan members and providers with an accent on benefit interpretation, claims inquiries, and complaint resolution. Focus on delivering exceptional service while maintaining high accuracy in documentation and adherence to industry-specific billing guidelines.

Location: Must be based in the United States in the CST or EST time zone.

Company

hirify.global is a high-technology health insurance provider and the major medical division of Globe Life, dedicated to increasing transparency and access to healthcare.

What you will do

• Research and resolve inquiries from members and providers regarding benefits, eligibility, and claims.
• Manage escalations and complaints with a focus on urgency, empathy, and professional follow-through.
• Interpret complex billing guidelines, including CPT, ICD-10, and HCPCS codes.
• Document all interactions accurately within the CRM system.
• Collaborate with internal departments and external partners to solve complex member issues.
• Participate in team huddles and supervisor check-ins to maintain high service standards.

Requirements

• Minimum 2 years of experience in customer service supporting a commercial health plan.
• Fluency in both English and Spanish is required.
• Must reside in the United States and work within the CST or EST time zone.
• Proficiency in Microsoft Office and prior experience with CRM software, preferably Salesforce.
• Ability to maintain a dedicated, private, and secure home office environment with high-speed internet.
• Strong attention to detail and ability to communicate complex insurance topics clearly.

Culture & Benefits

• Comprehensive health, dental, vision, life, and disability insurance.
• Retirement savings plan with company match.
• Generous paid time off and vacation policy.
• Professional development and growth opportunities.
• Fully remote work environment with a focus on human-centric health insurance.