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Customer Service Representative - French Speaking

Insight Global

Customer Service Representative

Required Skills & Experience

Bilingual French and English speaker

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

Job Description

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

Insight Global
Vacancy posted 2 days ago
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