Spanish Speakers

Role Overview

Our valued partners are seeking a Bilingual (English/Spanish) Customer Service Representative (CSR) to provide critical patient navigation, inbound/outbound communication support, and administrative assistance across a growing network of US-based healthcare providers and health centers. Reporting directly to the Patient Services Supervisor, the ideal candidate will possess a healthcare-related degree and a solid foundation in the US healthcare ecosystem.

Operating as a key member of the Patient Services and Operations Department, this professional will serve as the first point of contact for patients. The role requires a highly empathetic, fluent bilingual individual who can seamlessly navigate patient inquiries, explain insurance benefits, schedule appointments, and coordinate care, while ensuring Spanish- and English-speaking patients face zero communication barriers.

Key Responsibilities

1. Patient Communication & Navigation

• Answer inbound calls and place outbound calls to patients, acting as a dedicated resource for both English- and Spanish-speaking communities.
• Assist patients with scheduling appointments, managing referrals, and accurately answering questions regarding their care timeline.
• Resolve patient inquiries with a high degree of empathy, professionalism, and clarity, ensuring a world-class patient experience.

2. Insurance Clarification & Support

• Review basic patient coverage and explain core US insurance concepts—including HMO/PPO plans, copays, deductibles, and patient benefits—in simple terms to patients.
• Guide patients through billing and insurance questions, utilizing Explanation of Benefits (EOB) documentation to address discrepancies.
• Coordinate with the billing and eligibility teams to verify patient insurance coverage and ensure demographic data is accurately updated.

3. Data Entry & Compliance

• Accurately document all patient interactions, call notes, and scheduling details within Electronic Health Records (EHR) and Practice Management Systems.
• Maintain strict patient confidentiality and ensure full compliance with HIPAA regulations and US healthcare data privacy laws.
• Follow up on patient care gaps, encouraging annual wellness visits and assisting with basic healthcare program enrollment.

Requirements

• Language Skills: Professional fluency in both Spanish and English is required. Must be fully comfortable handling complex medical support and phone conversations in both languages.
• Technical Skills: Tech-savvy with the ability to swiftly navigate medical CRM databases, phone systems, and electronic health records.

Preferably

• Education: A healthcare-related degree (e.g., Nursing, Pharmacy, Healthcare Administration, Public Health, or equivalent) is highly preferred.
• Experience: Preferably have 1–2 years of direct experience in the US Healthcare industry, ideally within a medical customer service, patient access, or call center environment.
• Core Knowledge: Solid understanding of US insurance basics, including PPO, HMO, EOBs, copays, and patient benefits.

What We Offer

At Edge, we believe our greatest innovation is our people. When you join our globally minded team, you’ll thrive in a supportive, forward-thinking environment where your growth and well-being are our top priorities.

We protect your peace of mind by offering a competitive starting base salary of USD 750, comprehensive health and life insurance, and a balanced leave package designed to support you and your family. This includes 14 annual vacation days with leave encashment options, 12 calendar weeks of paid maternity leave, 2 calendar weeks of paid paternity leave, and all mandated public holidays by Pakistani Law.

Discover a career where you can truly push boundaries, fully backed by a team that invests in your future and respects your rights.

Our Hiring Process

• Application Review: Submit your application and resume. Our team carefully evaluates all candidates to ensure a good fit.
• Edge Interview: You'll be invited to connect with a representative from Edge to present a detailed and tailored fit to your profile. (Language proficiency in English and Spanish will be rigorously assessed at this stage).
• Client Interviews: Successful candidates finish an onboarding & training phase and are placed in client interviews to showcase their skills and align with specific client needs.
• Final Selection: Once a good match is made, you’ll join the Edge Global Talent Community, ready to make an impact in the world of healthcare.

Why Choose Edge?

• Be part of a dynamic, global community that values your skills.
• Work on projects that make a real difference in people's lives.
• Enjoy a clear path for career growth and development.
• Be a part of a people-first and talent-centric culture.

Who We Are

EDGE is building a bridge between Top Global Talent and the US Healthcare & Insurance Industry. We are on a mission to create a borderless network of exceptional talent with people at the center of everything we do. See our values and more on onedge.co.

Talent Boilerplate

At Edge, we’re on a mission to create a world where geographic borders are no longer a barrier for people to obtain full-time employment and fair wages. That’s why we’ve created a global hiring network that seamlessly connects exceptional talent from all over the world with businesses in North America that most need to fill positions. The Edge Talent Network is a community of like-minded professionals through which you can unlock your potential, showcase your skills, and earn what you’re worth.

Equal Opportunity Employer Statement

Edge is proud to be an equal-opportunity employer. We are committed to fostering a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, physical or mental disability, age, veteran status, or any other legally protected basis.