Job Description

We currently have two immediate openings for Customer Service Reps in Miami, FL (Bayfront Park). These positions are working for a company that is a third party insurance provider with contracts across the globe.

We are seeking professionals who are looking for full-time jobs working 40 hours per week. The biggest thing we need is reliability, consistency, customer service experience, and an eagerness to learn. Experience working in the medical or insurance field is highly preferred.

These roles will hire off of one virtual interview. Pay begins at $19/hr for the first 6 months and will increase after.

Job Overview: The role requires communication between medical providers and our client as 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:

• 2+ years of experience in customer service, health insurance field is required
• Bilingual in Spanish
• High school diploma/GED required
• Strong analytical, detail-oriented and accuracy skills are required
• Desire to work in a small entrepreneurial environment
• Ability to manage time effectively, set priorities, meet deadlines as well as adapt to change

Plusses:

Pay:

$19/hr starting pay

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