E2E Alignment Healthcare USA, LLCHiring

Bilingual Spanish Resolution Specialist

  • Remote, United States
  • Full-time
  • Mid-level
  • Posted 2 weeks ago
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In one line

Remote member support role handling complex Spanish and English cases about claims, authorizations and provider network issues.

About the role

Member issue resolution sits with the member engagement team, where cases are taken in and driven to a timely, satisfactory close. The work also feeds process improvement and Voice of the Customer reporting.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Employment
Full-time
Working hours
US Pacific to Eastern business hours, Monday to Friday
Skills
Spanish, English, Healthcare insurance claims, Voice of the Customer
Posted
19 Oct 2026
Last checked
2 Nov 2026

What you will do

  • Act as the go-to expert on escalated member calls about authorizations, claims and provider network problems
  • Call members outbound and take inbound calls within set timeframes, using their preferred language and channel
  • Work with other departments, benefit vendors and the provider network to smooth the member experience
  • Spot care gaps and campaigns, check program eligibility and connect members to the right program or provider
  • Log member details in real time across systems and finish wrap-up promptly for accurate reporting
  • Submit activity reports on the required schedule and meet individual and team goals

What they look for

  • Fluent Spanish and English
  • Solid analytical skills and knowledge of health insurance policies
  • A commitment to strong service for members, providers and internal colleagues
  • Understanding of healthcare processes and protocols

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Muse

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How to connect

Questions about this job

Is this job fully remote, and from where?

Yes, it is listed as remote, aimed at candidates in the United States. On hours, the posting says: US Pacific to Eastern business hours, Monday to Friday.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a mid-level role. The posting asks for: fluent Spanish and English; solid analytical skills and knowledge of health insurance policies; a commitment to strong service for members, providers and internal colleagues. Skills it names include Spanish, English, Healthcare insurance claims, Voice of the Customer.

How do I apply with Keywordise AI?

Select Apply with Keywordise AI, sign up and upload your CV. Keywordise writes a CV and a cover letter for this job from your real experience and applies for you. The 7-day free trial needs no card.

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