Patient Service Representative (Bilingual - Spanish)

About the role

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 cost—we call ourselves Healthcare Warriors®.

What You’ll Bring (Qualifications)

• Educational requirements: High School Diploma or GED equivalent required; college coursework or degree is a plus!
• Languages: Spoken and written fluency in both English and Spanish.
• Mindset: Passion for helping others and ensuring a positive experience for members.
• Skills: Ability to think critically, use available resources, and adapt to evolving challenges; strong communication; strong administrative/technical skills; comfortable handling phone conversations and emails professionally and efficiently; accountability and dependability; growth-oriented attitude.

The Impact You’ll Make

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. 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.

The Impact You’ll Make (Continued)

Through each interaction, you will not only resolve concerns but also empower members with knowledge to make informed decisions about their care. 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.

The Impact You’ll Make (Continued)

Through each interaction, you will not only resolve concerns but also empower members with knowledge to make informed decisions about their care. 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.

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.
• Comprehensive Benefits: Flexible wellness programs, additional leave policies, and comprehensive benefits designed to support work-life balance.