Bilingual Spanish Support Specialist

Healthfirst

. Assist care/case managers with non-clinical activities such as creating cases and events .

Posted 10/14/2026full-timeRemote • United StatesMid-LevelSenior💰 $40,200 - $54,570 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates proficiency in managing member outreach and documentation within a healthcare setting, utilizing tools like Trucare and Salesforce. Capable of effectively communicating service-request requirements and managing a large caseload to enhance quality and cost outcomes.

Highest-signal resume keywords

Trucare ExperienceCustomer Service ExperienceBilingual in English and SpanishKnowledge of Medical TerminologyMicrosoft Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Case ManagementDocumentation SkillsTelephonic OutreachAuthorization ManagementIntake Document Review

Soft Skills

Effective CommunicationOrganizational SkillsAttention to DetailProblem-Solving Skills

Tools & Technologies

SalesforceHHAXchangeDocuSign EpacesSharepointMicrosoft ExcelMicrosoft WordMicrosoft OutlookMS Teams

Certifications & Qualifications

High School Diploma or GED Equivalent

Industry Keywords

Managed CareHealthcare IndustryCall Center EnvironmentCare Management

About the role

Key responsibilities & impact

Assist care/case managers with non-clinical activities such as creating cases and events
Provide telephonic outreach to members, providers, and community-based organizations
Handle member mailings
Fax clinical requests and Individual Health Care Plans on behalf of care/case managers
Conduct outreach to newly enrolled members to review current and approved services, DME, and additional requests
Review intake documents for pre-approved services and escalate discrepancies
Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify issues or risk factors requiring clinical escalation
Initiate, finalize, update, and discontinue authorizations in Trucare for preapproved services and DMEs
Document calls regarding benefit questions, appointments, assessments, service issues, grievances, authorizations, referrals, visits, tests, and care plans
Educate members and providers regarding service-request approval requirements
Manage a large caseload and monitor member screening to improve quality and cost outcomes
Communicate with inter/intra-departments regarding onboarding issues
Perform additional duties as assigned

Requirements

What you’ll need

High School diploma or GED equivalent
Experience in a customer service environment
Experience working in a fast-paced environment that requires handling multiple priorities simultaneously
Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
English proficient bilingual who also speaks Spanish
Knowledge of medical terminology
Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint
Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department
Experience with Microsoft Office Suite applications including Excel, Word, Outlook, and MS Teams
Demonstrated ability to document calls into a computer system

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Incentive and recognition programs
Life insurance
401k contributions
Competitive compensation and benefits package