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Spanish Bilingual Healthcare Call Center Representative
Location: Remote (Virtual Environment)
Company: Trusted Leader in Healthcare Services
Are you fluent in both Spanish and English? Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
As a Spanish Bilingual Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.
What You'll Be Doing:
- Customer Interactions:
- Manage inquiries in areas such as Member Services, Medicare, and Billing , assisting Spanish- and English-speaking customers.
- Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.
- Quality Service:
- Uphold the organization's philosophy of extraordinary customer relations.
- Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.
- Problem Resolution:
- Analyze and evaluate customer issues to initiate and coordinate service recovery measures.
- Document all member interactions meticulously following established procedures.
- Healthcare Knowledge
- Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).
- Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.
- Operational Excellence
- Leverage a thorough understanding of company policies and processes to meet customer needs effectively.
- Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.
- Performance Metrics:
- Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.
- Compliance and Ethics:
- Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.
- Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.
- Tools and Systems:
- Use multiple systems/screens while assisting callers effectively
- Navigate CRM, EMR/EHR, and ticketing platforms effectively
What You Bring:
- Experience:
- Fluency in both Spanish and English (spoken and written) is required.
- Minimum of two (2) years of customer service or healthcare member-interaction experience.
- Previous call center experience and/or prior experience in the health insurance industry (preferred).
- Education:
- High School Diploma or GED required.
- Skills:
- Outstanding written and verbal communication skills.
- Proven analytical and problem-solving abilities.
- Ability to respond concisely and clearly to customer queries.
- Strong critical thinking and problem-solving skills.
- Typing speed of at least 35 WPM with a 5% or lower error rate.
Success Factors for Working from Home
- To thrive in this remote role, you'll need:
- Private Workspace: A dedicated, quiet workspace with a door that closes, free from ambient noise.
- Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.
- Reliable Internet Connection: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.
- Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.
- Tech-Savvy: Comfort with technology and ability to learn new systems quickly.
- Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment.
- Communication Skills: Strong verbal and written communication skills, especially in a virtual setting.
- Adaptability: Ability to adapt to changing technologies and procedures while working remotely.
What You Will Get:
- Competitive Pay: Enjoy a competitive hourly rate with opportunities for performance-based increases.
- Comprehensive Benefits: Full health insurance coverage, including medical, dental, and vision plans.
- Work Environment: A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.
- Career Growth: Abundant advancement opportunities within the organization.
- Inclusive Workplace: We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.
- Unique Perks:
- Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply).
- Referral for Life Program™: Earn residual bonuses for referring employees who join the team and remain with the company.
Join Our Team:
If you are a motivated Spanish-English bilingual professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
Remote working/work at home options are available for this role.
M3 Wake Research, an M3USA Company, is an integrated network of premier investigational sites meeting the clinical research needs of global biopharmaceutical, biotechnology, medical device, pharmaceutical and clinical research organizations (CROs). With close to 30 owned and managed research sites across the country, M3 Wake Research is one of the largest independent, multi-site clinical research companies in the US. M3 Wake Research continues to grow through acquisitions and uncompromising commitment to careful planning and execution in accordance with regulatory compliance.
Conducting studies since 1984, M3 Wake Research owns a proprietary patient database of potential clinical trial participants across the US. As of today, our board-certified physicians have completed more than 7,000+ successful clinical trials, while consistently exceeding sponsor expectations for integrity, timeliness, subject enrollment, human protection, and expeditious delivery of accurate evaluable data.
Due to our continued growth, we are hiring a Patient Enrollment Coordinator at Wake Research, an M3 company. This is a remote role.
The Patient Enrollment Coordinator position is an entry level position within the Patient Enrollment Department at Wake Research and enjoys significant opportunities for career development and growth. The ideal candidate is a highly engaged professional with a positive attitude and growth mindset, who is looking for a long-term career in patient enrollment/study participant recruitment and/or clinical research.
The Patient Enrollment Coordinator has primary responsibility and accountability for the timely enrollment of patients/study participants for all clinical research studies at their assigned site.
Essential Duties and Responsibilities:
- Maintain full ownership and accountability for initiating phone contact to potential study participants from all lead sources including internal marketing campaigns, outbound database call lists, EHR/provider practice databases, central campaigns, and community outreach efforts.
- Conduct phone-based pre-screening interviews for potential study participants to determine pre-qualification status and eligibility for onsite screening visits.
- Provide detailed study information and answer patient inquiries regarding eligibility criteria, study visits and procedures, time commitments, logistics, etc.
- Consistently provide outstanding customer service with every patient interaction.
- In the case of patient disqualification from initial study of interest, conduct live assessment of patient eligibility for other enrolling or upcoming research studies within appropriate therapeutic areas and conduct additional pre-screening interviews as necessary.
- Schedule onsite screening visits for eligible patients within established scheduling guidelines.
- Input and record patient information and call notes into CTMS database and other portals and systems in compliance with standardized patient enrollment processes and procedures.
- Track information and report data such as call outcomes, limiting factors, etc.; as directed.
- Attend and participate in regularly scheduled and ad-hoc patient enrollment and M3 Wake Research staff meetings, as directed.
- Maintain compliance with all standardized patient enrollment processes and procedures.
- Maintain compliance with HIPAA regulations, FDA, GCP, and IRB guidelines, local regulations, and M3 Wake Research SOPs and Work Instructions.
- High school diploma (or equivalent) required. Professional medical certification, associates, or bachelor’s degree preferred.
- At least 1 year of inbound/outbound call center, phone-based, and/or public-facing customer service experience required. Candidates with transferable skills and strong track records of success in other industries are strongly encouraged to apply.
- Previous experience as a medical assistant, nurse or EMT is strongly preferred.
- Bilingual preferred - English/ Spanish.
- Prior clinical research, healthcare, or medical terminology experience preferred, but not required.
- Highly developed skills in communication clarity, accuracy, and attention to detail.
- Demonstrated capacity to learn and comprehend new complex information and communicate new knowledge to the public in easy-to-understand terms.
- Demonstrated capacity to learn and utilize new software and technology.
About M3:
M3 USA is at the forefront of healthcare innovation, offering digital solutions across healthcare, life sciences, pharmaceuticals, and more. Since our inception in 2000, we’ve seen remarkable growth, fueled by our mission to utilize the internet for a healthier world and more efficient healthcare systems.
Our success is anchored in our trusted digital platforms that engage physician communities globally, facilitating impactful medical education, precise job placement, and insightful market research. M3 USA prides itself on a dynamic and innovative work environment where every team member contributes to global health advancements.
Joining M3 USA means being part of a dedicated team striving to make a significant difference in healthcare. We provide a unique opportunity for you to be at the cutting edge of healthcare innovation, shaping the future in a meaningful career. Embrace the chance to drive change with M3 USA.
Benefits:
A career opportunity with M3 Wake Research offers competitive wages, and benefits such as:
- 401(k), 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
*M3 reserves the right to change this job description to meet the business needs of the organization
Remote working/work at home options are available for this role.
