The role requires communication between medical providers and our clientas well as members. The customer service rep is to coordinate treatment and provide authorizations/issue GOP's for members in Latin America, Europe, etc. Respond to inquiries pertaining to authorizations and documentation requirements.
Responsibilities and Duties:- Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOP's according to policy and client authorizations
- Tracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providers
- Provide guidance, support and advice to international members seeking medical treatments or procedures
- Responds to routine phone inquiries and written correspondence related to authorizations and claims status
- Screens and routes complex cases to the appropriate manager
- Navigates multiple systems to obtain necessary data to issue GOP's
- Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly
- Able to be a part of a on-call/duties rotating schedule (after normal office hours and weekends)
Qualifications: Bilingual /English and Spanish required Portuguese/French a plus
- 2+ years of experience in customer service, health insurance field a plus
- High school diploma/GED required
- Strong analytical, detail-oriented and accuracy skills are required
- Ability to manage time effectively, set priorities, meet deadlines as well as adapt to change
- Desire to work in a small entrepreneurial environment
Pay: $19/hr