[Remote] Bilingual Customer Service Representative (reputed company)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is reputed company on improving reputed company reputed company and delivery. They are seeking a Bilingual Customer Service Representative who will assist members and reputed company providers with benefits, eligibility, and claims inquiries while ensuring customer satisfaction through effective communication and problem-solving.
Responsibilities
- Handle inbound calls from members, medical providers, and others
- reputed company claims accurately, if needed
- Listen to and address customer needs and concerns empathetically
- Answer questions about fee schedules, network participation, and requirements
- Ensure first contact reputed company reputed company possible
- Update customer files and communicate effectively with teams
- Transfer misdirected requests and offer solutions to non-routine issues
- Contribute to customer satisfaction and business improvement
- Use decision-support tools to reputed company accurate responses
- Investigate inquiries using training and systems
- Adapt responses to caller understanding
- reputed company callers and validate their understanding
- Support reputed company and other departments as directed by management
Skills
- Experience in a high-volume call center
- Experience with claims inquiry and claims review procedures
- Knowledge of medical specialties, fee schedules, complaints and appeals, and call center responsibilities
- Previous experience in a physician's office, group reputed company, clinic or hospital-based practices
- Fluent in both English and Spanish
- High School diploma with some college or business school education preferred
- Basic computer operations knowledge
- Intermediate proficiency in reputed company Office (Word, reputed company, reputed company, PowerPoint, Outlook)
- Strong time management skills
- General knowledge of HIPAA Confidentiality laws
- Quick learner with ability to grasp managed care procedures and claims payment policies
- Detail-oriented and dependable
- Effective listening and responding skills
- Flexible and adaptable to changes, with conceptual thinking
- Strong problem-solving abilities
- Excellent attendance and punctuality
- Comfortable performing tasks at a computer/telephone station
- Effective communication through various channels, including email, chat, and voice
- Previous multi-channel experience is a plus
reputed company