TEKsystems
Job Overview
We are hiring bilingual Spanish-speaking healthcare agents to engage members, resolve complex coverage and benefit issues, provide empathetic support, and coordinate across internal and external partners to ensure seamless healthcare experiences.
Responsibilities
Engage with members via inbound or outbound phone calls daily, addressing complex coverage and benefit issues.
Use technology to troubleshoot prior authorization issues and coordinate with PBMs and other partners.
Leverage strong customer service and de‑scalation skills to manage complex claims issues and support members through difficult situations.
Maintain accurate, up‑to‑date member records and documentation across multiple systems.
Qualifications & Skills
Bilingual in Spanish (Korean optional) with exceptional empathy and customer‑service orientation.
Experience in healthcare call centers or customer service (non‑retail) with knowledge of healthcare offerings.
Strong multitasking, communication, and ability to use multiple monitors and systems simultaneously.
Comfort discussing sensitive healthcare topics such as chronic conditions or end‑of‑life care.
Prior experience with prior authorization or claims processing is a plus.
Shift & Hours
Call center hours: 8:00 am–8:00 pm local time.
October – April: Open 7 days a week.
April – October: Open Monday–Friday, first shift hours 8 am – 6 pm.
Job Type & Location Contract to Hire position based out of Houston, TX 77070.
Pay & Benefits
Pay range: $24.00 – $24.00 / hr.
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long‑term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Application Deadline This position is anticipated to close on January 22, 2026.
Equal Opportunity Employer The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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Responsibilities
Engage with members via inbound or outbound phone calls daily, addressing complex coverage and benefit issues.
Use technology to troubleshoot prior authorization issues and coordinate with PBMs and other partners.
Leverage strong customer service and de‑scalation skills to manage complex claims issues and support members through difficult situations.
Maintain accurate, up‑to‑date member records and documentation across multiple systems.
Qualifications & Skills
Bilingual in Spanish (Korean optional) with exceptional empathy and customer‑service orientation.
Experience in healthcare call centers or customer service (non‑retail) with knowledge of healthcare offerings.
Strong multitasking, communication, and ability to use multiple monitors and systems simultaneously.
Comfort discussing sensitive healthcare topics such as chronic conditions or end‑of‑life care.
Prior experience with prior authorization or claims processing is a plus.
Shift & Hours
Call center hours: 8:00 am–8:00 pm local time.
October – April: Open 7 days a week.
April – October: Open Monday–Friday, first shift hours 8 am – 6 pm.
Job Type & Location Contract to Hire position based out of Houston, TX 77070.
Pay & Benefits
Pay range: $24.00 – $24.00 / hr.
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long‑term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Application Deadline This position is anticipated to close on January 22, 2026.
Equal Opportunity Employer The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
#J-18808-Ljbffr