[Remote] Bilingual Customer Service Representative – Healthcare

Note: The job is a remote job and is open to candidates in USA. Amerit Consulting is seeking a Bilingual Customer Service Representative for a healthcare enrollment and member services program serving California Medi-Cal beneficiaries. The role supports beneficiaries with coverage questions, managed care plan selection, enrollment transactions, and benefits inquiries through primarily inbound calls.

Responsibilities

• Handle inbound customer service calls and conduct outbound follow-up calls as needed
• Assist Medi-Cal beneficiaries with questions regarding healthcare coverage, enrollment, and managed care plans
• Explain available healthcare plan options, eligibility requirements, and enrollment procedures
• Respond professionally to customer questions, concerns, and service requests
• Escalate complex inquiries to supervisors or appropriate county/state agencies when necessary
• Process enrollment and disenrollment transactions accurately
• Assist beneficiaries with medical exemptions, waiver inquiries, and enrollment status updates
• Help eligible individuals and families understand their healthcare plan options and select appropriate coverage
• Maintain current knowledge of Medi-Cal program policies, procedures, and available managed care plans
• Maintain accurate customer records and transaction documentation
• Follow established procedures, contractual compliance requirements, and customer service standards
• Meet established productivity, quality assurance, and performance goals
• Communicate effectively with supervisors and internal support teams
• Provide backup assistance with forms processing and research functions as needed
• Perform other duties as assigned by management

Skills

• High School Diploma, GED, or equivalent certification
• Minimum 1 year of customer service or related experience
• Bilingual fluency in English and at least one of the required languages listed below
• Strong verbal and written communication skills
• Computer proficiency and ability to quickly learn new software applications
• Excellent organizational, interpersonal, and problem-solving skills
• Ability to manage multiple tasks in a fast-paced, deadline-driven environment
• Ability to follow established procedures and meet quality and productivity standards
• Ability to work independently and collaboratively within a team
• Previous experience in a call center or contact center environment
• Experience in healthcare, health insurance, human services, or public assistance programs
• Experience assisting the public with healthcare benefits, insurance enrollment, or eligibility inquiries
• Spanish
• Armenian
• Cantonese
• Farsi (Persian)
• Japanese
• Korean
• Mandarin
• Thai
• Laotian (Lao)
• Ukrainian
• Vietnamese

Benefits

• Remote work after 4–5 weeks of paid onsite training.
• Following training, employees will transition to remote work with company-provided equipment.
• Employees may choose to continue working onsite.

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