Bilingual Spanish Resolution Specialist

Alignment Health

Bilingual Spanish Resolution Specialist providing member issue resolution and managing healthcare insurance claims. A role at Alignment Health focused on member engagement and satisfaction.

Posted 5/20/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $41,600 - $57,600 per yearWebsite

About the role

Key responsibilities & impact

Provide member issue resolution managing and resolving healthcare insurance claims.
Intake complex member cases and provide prompt and satisfactory resolution.
Decrease turnaround time, improve the quality of resolution, and manage barriers to resolution.
Serve as a subject matter expert in escalated member calls.
Identify process improvement opportunities within the member engagement department.
Conduct outbound phone calls and/or receive inbound phone calls.
Collaborate with partners and other departments to facilitate the member experience.
Document real-time and conduct timely wrap-up to support outcomes reporting.

Requirements

What you’ll need

Minimum (1) year healthcare experience and / or training required; 3-4 years of healthcare experience / training required.
Minimum (1) year outbound call center experience.
Experience helping members navigate access to care through Medicare Advantage or HMO.
Experience helping members navigate their Medicare Advantage benefits.
High school diploma or general education degree (GED); or equivalent combination of education and experience.
Intermediate proficiency in Microsoft Office Suite (Outlook, Word, Excel).
Bilingual English and Spanish, Chinese (Mandarin or Cantonese), or Vietnamese.
Independent, motivated, self-starter who can prioritize work assignments.

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development opportunities

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 & Tools

healthcare experienceclaims resolutionprocess improvementoutbound call center experienceMedicare AdvantageHMO navigationMicrosoft Office Suitedocumentationmember engagement

Soft Skills

problem-solvingcommunicationcollaborationindependencemotivationself-starterprioritization

Certifications

high school diplomaGED