Employer Industry: Healthcare Services

Why Consider this Job Opportunity:
- Salary up to $25.65
- Opportunity for career advancement and growth within the organization
- Bilingual position, requiring fluency in Spanish
- Fully integrated organization with exemplary technologies and processes
- Comprehensive benefits package, including medical, dental, and vision coverage
- Well-being programs, education assistance, and development courses available

What to Expect (Job Responsibilities):
- Handle basic and complex customer inquiries via telephone, internet, or written correspondence
- Educate and guide members on Aetna plans, tools, and resources
- Resolve member and provider issues and document all interactions
- Assist with claim referrals, nurse reviews, and appeals
- Maintain accurate records and perform data maintenance tasks

What is Required (Qualifications):
- Customer service experience in a transaction-based environment
- Bilingual fluency in Spanish
- Experience in a production environment
- High School diploma or GED equivalent
- Strong technical knowledge and attention to detail

How to Stand Out (Preferred Qualifications):
- Medicaid or healthcare experience
- Additional languages spoken
- Knowledge of HIPAA regulations
- Familiarity with medical terminology
- Experience with claims processing

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.