Bilingual Customer Care Representative

November 6

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Benefit Management Software • Dental Benefit Management • Vision Benefit Management • SaaS • Provider Data Management

501 - 1000

Description

• Servicing Dental and Vision callers with information regarding eligibility, benefit coverage, authorizations, and claims • Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests • Provide feedback to Provider Relations staff on high-level claim issues • Support enrollment activities including assigning primary care providers • Act as liaison to resolve issues such as eligibility and filing appeals • Recognize provider questions that could be handled through the use of the provider web portal • Ensure all calls are answered according to company and client guidelines • Accurately document call information and resolution in internal systems • Apply effective diffusion techniques when necessary • Properly identify issues that need to be escalated to the leadership team • Provide recommendations on system enhancements and process improvements to management • Keep the Provider Relations team updated with provider manual discrepancies

Requirements

• Must be fluent in Spanish • High school diploma or equivalent • 1+ years of job related customer service experience within industries such as healthcare, call center, banking or retail • Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and Outlook • Ability to work occasional overtime as needed • Excellent listening and communication skills • Superior customer service skills including the natural ability to provide empathy • Strong data entry/typing skills • Strong navigation skills and the ability to multi-task • Excellent attention to detail • Critical thinking skills to quickly analyze and clearly understand a specific request or customer need • Leverage knowledge and resources to provide the appropriate solutions

Benefits

• Career growth in an inclusive culture • Paid training • Health benefits • 401(k)