Healthcare Case Administrator (Bilingual – English & Spanish)
TLDR
Manage healthcare and insurance cases from initiation through resolution, coordinating bilingual client support, documentation, investigations, and CRM tracking.
Healthcare Case Administrator (Bilingual – English & Spanish)
Department: Operations
Reports To: Team Manager / Operations Manager
Location: Kingston (Onsite) – Jamaica
Employment Type: Full-Time
Position Summary
We are seeking a Bilingual Healthcare Case Administrator (English & Spanish) to support healthcare and insurance operations for U.S.-based clients.
In this role, you will manage healthcare cases from initiation through resolution while providing exceptional service to English and Spanish-speaking clients. You will communicate with patients, healthcare providers, insurance carriers, and internal departments to ensure documentation is accurate, cases are progressing efficiently, and client needs are resolved promptly.
This position is ideal for individuals who enjoy solving problems, working with healthcare documentation, and making a meaningful impact through excellent customer service.
Work Schedule
- Monday-Friday
- 8:00 AM – 5:00 PM (U.S. Business Hours)
- Schedule adjusts during U.S. Daylight Saving Time
- Weekends Off
- Additional flexibility based on business needs
Essential Responsibilities
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Essential Responsibility
Description
% of Time
Healthcare Case Management
Manage healthcare and insurance-related cases from initiation through resolution. Review documentation for completeness and accuracy, monitor case progress, coordinate with internal teams and external partners, and ensure all case milestones and deadlines are met.
30%
Bilingual Client Support & Coordination
Serve as the primary point of contact for English and Spanish-speaking clients, healthcare providers, insurance carriers, and third-party partners. Provide case updates, answer inquiries, explain documentation requirements, and deliver exceptional customer service through phone and email communication.
25%
Investigation & Problem Resolution
Research claim or case discrepancies, investigate delays, identify root causes, and implement effective solutions to resolve issues while maintaining compliance with client and company standards.
20%
Documentation & Administrative Support
Collect, review, organize, and maintain healthcare and insurance documentation. Ensure records are complete, accurate, confidential, and compliant with HIPAA, company policies, and client requirements.
15%
Case Tracking & Reporting
Maintain accurate records within CRM and case management systems, track case progress, prepare reports, update stakeholders, and ensure all records remain current and audit-ready.
10%
Total
100%
Required Qualifications
- Minimum 5 CXC subjects, including English and Mathematics.
- Fluent in both English and Spanish (written and spoken).
- Minimum 1 year of experience in one or more of the following:
- Healthcare Administration
- Insurance Claims
- Medical Office Administration
- Customer Service
- Case Management
- Administrative Support
- Medical Billing
- Excellent verbal and written communication skills in both languages.
- Strong attention to detail.
- Excellent organizational skills.
- Ability to multitask in a fast-paced environment.
- Strong computer literacy.
- Experience using CRM systems and Microsoft Office.
Preferred Qualifications
- Experience supporting U.S. healthcare clients.
- Insurance or healthcare administration experience.
- Medical terminology knowledge.
- Experience with healthcare claims.
- Salesforce or CRM experience.
- HIPAA knowledge is an asset.
Core Competencies
- Bilingual Communication (English & Spanish)
- Customer Service Excellence
- Critical Thinking
- Problem Solving
- Attention to Detail
- Time Management
- Organization
- Accountability
- Professionalism
- Adaptability
Work Environment
This position is based in our professional office in Kingston, Jamaica.
The role requires:
- Frequent phone conversations in English and Spanish
- Extended computer use
- Managing multiple healthcare cases simultaneously
- Maintaining confidentiality of sensitive healthcare information
- Compliance with company policies and client requirements
What We Offer
- JMD $130,000 - $150,000 Base Salary
- US$100 Sign-On Bonus (paid after probation)
- Health Insurance Benefits
- Monday-Friday Corporate Schedule
- Weekends Off
- Paid Training
- Career Advancement Opportunities
- Stable Full-Time Employment
- Professional and Collaborative Work Environment
Who You Are
You are fluent in both English and Spanish and enjoy helping people navigate healthcare and insurance processes. You are organized, detail-oriented, and confident in communicating with diverse clients. You thrive in a fast-paced environment, can manage multiple priorities, and take pride in delivering accurate, compassionate, and professional service.
Disclaimer
This job description outlines the general nature and level of work performed and is not an exhaustive list of duties or responsibilities. Duties may be adjusted to meet business needs.
© VL BPO | Confidential & Proprietary Template
Benefits
Health Insurance
Health Insurance Benefits
Professional and collaborative work environment
Paid Time Off
Weekends Off