Bilingual Concierge – Customer Service Representative
MedWatch, LLC
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
Salary
💰 $17 - $19 per hour
About the role
- Respond to telephone and email inquiries received from members and providers within defined service standards
- Negotiate with providers to gain acceptance for plans without network agreements and/or out-of-network providers
- Assist members with benefits and healthcare questions
- Document all calls received in system-based call log
Requirements
- Customer Service / Call Center experience
- Strong customer relations
- Interpersonal skills
- Individual must speak fluent English and Spanish
- Strong reading and writing abilities in each language
- Proficient with Microsoft applications and computer navigation
- Knowledge of provider organizations and networks
- Understanding of CMS Medicare reimbursement rates
- Ability to effectively negotiate rate structures
- Excellent verbal and written communication skills
- Ability to multi-task & anticipate potential needs/problems
- Understanding of Self-Funded health benefits a plus
- Health Payor background preferable in self-funded industry a plus
- Claim processing skills a plus
- Insurance verification or pre-certification a plus
- Strong analytical and research skills
Benefits
- paid time off
- medical
- dental
- vision
- short and long-term disability
- life insurance
- AD&D
- 401k with match
- critical illness coverage
- legal plan
- identity theft coverage
- pet insurance
- discount programs
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
customer servicecall center experiencenegotiation skillsclaim processinginsurance verificationpre-certificationanalytical skillsresearch skillsbilingual (English and Spanish)computer navigation
Soft skills
strong customer relationsinterpersonal skillsverbal communicationwritten communicationmulti-taskinganticipation of needsproblem-solving