Member Services Representative I – Bilingual

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🔥 0 minutes ago

🗣️🇪🇸 Spanish Required

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Logo of Trillium Health Resources

Trillium Health Resources

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.

📋 Description

• Provide non-clinical administrative support to the Member Services Department • Answer inbound calls and connect callers to the appropriate party • Share information, provide technical assistance, answer questions, and handle or resolve complaints • Deliver information, answer frequently asked questions, and address complaints in a call center environment • Seek first-call resolution while maintaining a professional, service-oriented manner and high customer satisfaction • Provide members and recipients with information about network providers so consumers can make informed choices • Do not make clinical determinations or interpretations of clinical information • Contact licensed clinical staff to lead emergency calls • Gather and update demographic, referral source, payer source, current provider, provider choice, and appointment data • Collect, monitor, and organize data for databases, reports, and reviews • Review call notes, enrollments, registrations, and other documents for completeness and accuracy • Perform general clerical work for the Member and Recipient Services Department or other approved departments • Travel within the catchment as required

🎯 Requirements

• High school diploma or GED and one (1) year of call center, member services, or customer service experience; OR equivalent combination of education and experience • Fluent or conversational Spanish speaking ability • Valid driver’s license • Must reside within North Carolina • Ability to travel within the catchment as required • Preferred: one (1) year of work experience in mental health, substance abuse, and developmental disabilities • Must pass a drug test as a condition of employment

🏖️ Benefits

• Competitive benefits • Work-from-home options for most positions • Opportunities for professional growth • Flexible work schedules with management approval for some roles • Health Insurance with no premium for employee coverage • Flexible Spending Accounts • 24 days of Paid Time Off (PTO) • 12 paid holidays in your first year • NC Local Government Retirement Pension (defined-benefit plan) • 401k with 5% employer match and immediate vesting • Public Service Loan Forgiveness (PSLF) qualifying employer • Quarterly stipend for remote work supplies

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