Member Services Representative - Bilingual Spanish {170301}

Member Services Representative (Bilingual Spanish)

Location: Alameda, CA (On-site)
Type: Temporary (W2)
Schedule: Monday–Friday, 8:00 AM–5:00 PM (40 hours/week)
Pay: Target $28.61/hr (W2)

Position Summary

We’re hiring a Member Services Representative (Bilingual Spanish) to serve as a first point of contact for members—answering a high volume of inbound/outbound calls and responding to inquiries via email, fax, letters, chat, and phone. You’ll research issues, provide solutions, and document all interactions accurately in a CRM system while delivering excellent customer service.

Key Responsibilities

• Handle inbound/outbound calls and multi-channel member communications with timely, professional service
• Identify member needs, research issues across systems, and drive resolutions (including follow-up when needed)
• De-escalate dissatisfied callers and provide supportive, solutions-oriented service
• Document all interactions clearly and consistently in the CRM/database
• Support internal coordination with departments such as Claims, Enrollment, Pharmacy, Authorizations, IT, and more
• Educate members on plan benefits, eligibility, authorizations, services, and guidelines
• Maintain confidentiality and meet performance goals (quality, attendance, efficiency, member satisfaction)

Required Qualifications

• Bilingual proficiency in Spanish and English (bilingual proficiency exam required; must score 90%+)
• High school diploma or GED
• Ability to work 100% on-site in Alameda, CA
• Ability to work Monday–Friday, 8:00 AM–5:00 PM

Preferred Qualifications

• 1+ year of customer service experience (call center and/or managed care experience preferred)
• Familiarity with medical terminology
• Experience using CRM tools

Interview Process

• Virtual interview (most likely one round)

Interested?

Austin Faris
5867107941