Description
Solis Health Plans is hiring a full-time, fully on-site Member Services Representative in Miami, Florida, to handle telephone, written, and in-person member inquiries and service requests. The role covers coverage decisions, grievances, appeals, benefit interpretation, eligibility verification, referrals, authorizations, complaints, and documentation, while maintaining customer service standards and complying with HIPAA and other healthcare regulations. Candidates must be bilingual in English and Spanish, have at least one year of healthcare experience, and possess strong communication, computer, organizational, and decision-making skills.
