Demo

Bilingual Customer Service Representative

Insight Global
Miami, FL Full Time
POSTED ON 3/5/2025
AVAILABLE BEFORE 4/3/2025

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.


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


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)

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