Job Overview

Our client is looking for a Bilingual Medical Receptionist to support their Quality Improvement (QI) initiatives and front-office operations in a fully remote capacity. This hybrid role blends administrative accuracy with compassionate member engagement, ensuring seamless coordination between members, providers, and internal teams. The ideal candidate is detail-oriented, tech-savvy, and committed to maintaining high standards of compliance, privacy, productivity, and member experience.

Schedule

Monday - Friday, 8:00 AM - 5:00 PM PST, with 1 hour unpaid break (40 work hours per week)

Responsibilities

Reception & Communication

• Answer incoming calls, route messages, and manage VoIP phone systems, general voicemail, text messages, and fax distribution.
• Provide courteous, bilingual communication to members, providers, and community partners.
• Assist members needing support with appointments, transportation, GA Foods, or service coordination.
• Send follow-up emails, Teams messages, or text replies when the Lead Care Manager (LCM) is unavailable and the member does not require immediate assistance.
• Make outbound calls or send messages as needed for follow-ups, reminders, or outreach.
• Maintain accurate documentation in SwyftOps and ensure timely data entry.

Administrative & Program Support

• Confirm insurance eligibility and verify member enrollment.
• Escalate calls to supervisors when appropriate.
• Understand and support Enhanced Care Management (ECM) workflows, including explaining ECM benefits, care coordination goals, and available resources to members in both English and Spanish.
• Assist with Outreach & Referral (OR) processes, ensuring timely follow-up and accurate documentation of member engagement.
• Maintain a working knowledge of Medi-Cal guidelines, CalAIM initiatives, and the organization's interdisciplinary care approach.

Remote Work Compliance

• Log in daily via Microsoft Teams by 8:15 AM PST and attend scheduled huddles or meetings.
• Submit daily productivity reports and categorized schedules to supervisor by end of day.
• Maintain a secure, quiet, HIPAA-compliant home office environment.
• Follow established password and data-security protocols, including locked storage, password-protected devices, and regular password updates.
• Limit personal tasks to designated breaks and lunch periods.

Qualifications

• High school diploma required; Associate degree in Business Administration, Healthcare, or related field preferred.
• Minimum 2 years of experience in medical reception, care coordination, or QI support.
• Fluent in English and Spanish (written and verbal).
• Basic understanding of medical terminology and healthcare services.
• Proficient in EMR systems, Microsoft Teams, Excel, and remote communication tools.
• Exceptional organizational skills and attention to detail.
• Ability to work independently while maintaining accountability and productivity.

Technical & Environmental Requirements

• Reliable high-speed internet connection.
• Secure workstation with proper lighting, ventilation, and minimal noise.
• Access to locked file storage and password-protected devices.
• Willingness to comply with IT and security protocols.

Independent Contractor Perks

• Health Insurance Coverage for eligible locations
• Permanent work from home
• Immediate hiring

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.