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Call Center Specialist - Bilingual

United States, Las Vegas Employment contract · Job Posted February 05, 2026
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Job Description

We are looking for a skilled and empathetic Bilingual (English/Spanish) Call Center Specialist to join our team in Las Vegas. In this Contract to permanent position, you will be the primary point of contact for members, medical providers, and other callers, addressing a variety of inquiries with professionalism and care. This position requires bilingual proficiency in English and Spanish, along with the ability to handle high-volume calls efficiently while maintaining a focus on customer satisfaction. This role is 100% remote, however you must live in Las Vegas, NV.

Job Responsibility

  • Respond to inbound calls from members, medical providers, and other stakeholders with professionalism and empathy
  • Process and adjust claims accurately, ensuring all details are correct
  • Address customer inquiries regarding fee schedules, network participation, and procedural requirements
  • Update and maintain customer records while collaborating effectively with internal teams
  • Redirect misdirected calls appropriately and provide solutions to complex or non-standard issues
  • Utilize decision-support tools to deliver accurate and informed responses
  • Investigate and resolve inquiries using available training materials and system resources
  • Adapt communication styles to suit the needs and understanding of various callers
  • Educate callers on processes and validate their comprehension of shared information
  • Support departmental projects and collaborate with other teams as directed by management

Requirements

  • Must be fluent in both English and Spanish, with strong verbal and written communication skills
  • High school diploma required
  • additional college or business school education is preferred
  • Proficiency in basic computer operations and intermediate-level Microsoft Office applications (Word, Excel, Access, PowerPoint, Outlook)
  • Proven experience in a high-volume call center environment, handling claims inquiries and reviews
  • Familiarity with medical specialties, fee schedules, complaints, appeals, and managed care procedures
  • Ability to learn quickly and grasp claims payment policies and processes
  • Detail-oriented, dependable, and capable of managing time effectively
  • Strong listening skills and problem-solving abilities, with adaptability to changes in workflows or procedures

What we offer

  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • free online training

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