Member Experience Representative — Bilingual Spanish

Job overview

The Member Experience Representative role is onsite at a member center in the 75007 area of Texas; the listing provides a ZIP code rather than a city name. Compensation is not specified. The role supports Verda Health Plan of Texas members, including seniors enrolled in Medicare Advantage coverage, as part of the company’s mission to improve access to health and wellness services. The representative handles member questions across phone, email, and in-person channels, explains benefits and plan options, documents interactions, and coordinates issue resolution. The role helps members understand and use their coverage while supporting service quality, satisfaction, and membership retention.

What you'll do

• Respond to member inquiries about enrollment, claims, benefits, eligibility, referrals, and authorizations
• explain plan benefits and options in person, by email, or by phone
• clarify issues and guide members through resolution
• escalate issues when needed
• coordinate with providers and other departments
• document interactions in applicable systems
• follow HIPAA and regulatory requirements
• participate in assigned member calling projects and training.

What we're looking for

Skills & competencies

member experience representative

bilingual spanish

english and spanish

medicare advantage

member services

health insurance

contact center

claims

benefits education

hipaa

75007 tx

verda healthcare

Work arrangement

• Weekend coverage required

Benefits & perks

• 401(k), paid time off including vacation, holidays, and sick leave, health insurance, dental insurance, vision insurance, and life insurance.

Why this role

Fluency in English and Spanish is required. High school diploma or equivalent and 1–2 years of call center or related customer service experience are required. Schedule is 9 a.m.–6 p.m., Monday–Friday, with weekends as needed; occasional travel may be required.

About the employer

Verda Healthcare Inc is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.