Bilingual Customer Service Representative

Job Overview:

We are looking for French speaking Bilingual Customer Service Representative. 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 GOPs 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 GOPs 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 GOPs

Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly

Required Skills and 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