Patient Service Representative (Bilingual - Spanish)

Patient Service Representative (Bilingual Spanish)

Founded in 1999, Quantum Health is an independent healthcare navigation organization headquartered in Central Ohio. We believe no one should have to navigate the complexity of healthcare alone. Our mission is to make healthcare simpler and more effective for our members. We are a big-hearted, tech-savvy team committed to ensuring our members get the care they need at the most affordable costwe call ourselves Healthcare Warriors.

With more than 2,000 employees and counting, we are committed to building diverse and inclusive teams. If you're excited about this role, we encourage you to applyeven if you don't meet every requirement.

As a Patient Service Representative (Bilingual Spanish), you will play a crucial role in helping members navigate their healthcare journey with confidence. You will be their main point of contact, assisting with questions about benefits, claims, and provider options while ensuring they receive the right care at the right time. Your ability to listen, problem-solve, and provide clear guidance will directly impact their healthcare experience. Through each interaction, you will not only resolve concerns but also empower members with knowledge to make informed decisions about their care.

Beyond answering questions, you will proactively identify potential cost-saving opportunities, advocate for necessary services, and collaborate with internal teams to streamline healthcare access. Whether it's helping a member understand their medical bills, coordinating pharmacy needs, or removing barriers to care, your support will make a meaningful difference in their lives.

What Success Looks Like

• Resolve inquiries efficiently by handling inbound/outbound calls and addressing concerns in a timely manner.
• Show empathy and support to members during difficult healthcare situations.
• Provide clear guidance on healthcare plans, billing, and provider options.
• Advocate for members by coordinating with providers and insurers to remove barriers to care.
• Work collaboratively with internal teams to ensure accurate and seamless service.
• Meet performance goals while continuously learning and developing expertise in healthcare navigation.
• All other duties as assigned.

What You'll Bring (Qualifications)

• Education: High School Diploma or General Education Development (GED) equivalent required; college coursework or degree is a plus!
• Language: Spoken and written fluency in both English and Spanish.
• Customer-Focused Mindset: Passion for helping others and ensuring a positive experience for members.
• Problem-Solving Skills: Ability to think critically, use available resources, and adapt to evolving challenges.
• Strong Communication: Comfortable handling phone conversations and emails professionally and efficiently.
• Tech Savvy: Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
• Accountability & Dependability: A consistent, reliable presence with a commitment to meeting work schedule expectations and a commitment to working within Quantum Health's policies, values and ethics, and protect the sensitive data entrusted to us.
• Growth-Oriented Attitude: Eagerness to learn, take on new challenges, and develop professionally within the healthcare industry.

Why Join Us?

• Ability to Make a Difference: As the first point of contact for our members, you will have a direct impact on their healthcare experience solving real problems, providing clarity, and ensuring they get the care they need when they need it.
• Career Growth: Access to training, mentorship, and advancement opportunities, supported by a dedicated Learning and Development team.
• Engaging Work Culture: A collaborative, inclusive, and community-driven workplace with team-building activities and social events.
• Hybrid Work Flexibility: Success in this role starts with strong in-office collaboration during your onboarding. Once you and your leader agree that you are performing confidently, you may transition to a hybrid schedule provided you have a home environment suitable for remote work. * (manager approval is required)
• Comprehensive Benefits: Flexible wellness programs, additional leave policies, and comprehensive benefits designed to support work-life balance.

What's in it for you

• Compensation: Competitive base and incentive compensation
• Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
• Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
• Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
• Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
• Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
• Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!

What you should know

• Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
• Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
• Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we're committed to empowering our ERGs, and we're proud to be an equal opportunity employer.
• Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
• Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate's unique combination of experience and qualifications related to the position.
• Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
• Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.

California Employee and Job Applicant Notice of Collection of Personal Information: If you are a California resident, Quantum Health may collect personal information in connection with your application for employment and, if hired, during the course of your employment. The categories of personal information collected and the purposes for which that information is used are described in our California Employee and Job Applicant Notice of Collection of Personal Information. Please review the notice here: California Employee and Job Applicant Notice

Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you've encountered a recruiting scam, report it to the Federal Trade Commission and your state's Attorney General.