Healthcare Call Center Rep - Bilingual

Full time Healthcare Program Coordinator openings in the Corpus Christi, Texas 78401 area with a major healthcare company! Starting ASAP!! Apply now with Luke H. at A-Line! Program Coordinator Summary: Assist in activities related to the medical and psycho-social aspects of utilization and coordinated care PAY RATE: $16.00 per hour HOURS: 40 hours per week - Monday to Friday - 8:00AM - 5:00PM Required Experience Bilingual: must be fluent in Spanish and English to assist members 1-2 years of related healthcare experience High School Diploma or GED Adequate computer skills - typing speed of 30+ wpm or more 2 years of customer service experience n a call center setting Job Responsibilities: Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material. Data enter assessments and authorizations into the system. Why Apply: Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability 401k after 1 year of employment: With employer match and profit sharing GREAT Hours! Monday through Friday, 40 hours per week Competitive Pay Rate Keywords: Data Entry, Healthcare, Admin Assistant, Call Center, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service, Healthcare, Inbound Calls, Outbound Calls. 1-2 years of related healthcare experience High School Diploma or GED Adequate computer skills - typing speed of 30+ wpm or more 2 years of customer service experience in a call center setting

Created: 2025-06-08