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Bilingual Customer Contact Specialist
VGM Group, Inc.Bilingual Customer Contact Specialist facilitating communication between patients and payers in healthcare services. Assisting with interpretation services and managing customer queries in English and Spanish.
About the role
Key responsibilities & impact- Manage a large volume of incoming calls and email communication
- Respond to customer queries accurately and in a timely manner through email or phone
- Answer calls from referral sources in a timely and professional manner, and answer questions regarding the referral process to satisfy our customers
- Facilitate with Follow-Up communication for Spanish-speaking patients by contacting the patient, provider, or on-line tracking system to confirm items were delivered and/or services rendered
- Communicate with supervisor, peers, and external parties to keep them informed of updates regarding patients or payers, including outlying situations that could affect the referral
- Collect and enter accurate and detailed patient, provider, and payer information into the Company’s claims platform on a real-time basis to prevent delays in coordinating services or billing
- Work with patients/clients/beneficiaries’ insurance companies to assist in resolving issues or concerns
- Answer questions from patients, staff, insurance companies, providers, and payer sources
- Ensure patients receive a high standard of service delivery and care through a series of quality questions to ensure Company quality standards are being met
- Being on the phone is a required and essential function of the job
- Identify and resolves service issues and complaints
- Intake new orders as needed
- Maintain knowledge of company policies and procedures and regulatory, contractual, and accreditation requirements
- Remain available for after hours on-call coverage
- Follow strict confidentiality and HIPAA privacy and security guidelines
- Perform other duties as assigned
Requirements
What you’ll need- High school diploma/GED desired
- Equivalent professional experience preferred
- Must comply with continuing education per Company, regulatory, contractual, and accreditation requirements
- Experience working in a customer service role
- Bilingual in English and Spanish – reading, writing, and speaking (required)
- Fluent in Spanish - verbal and written communication (required)
- High degree of integrity and trust
- Ability to multitask and prioritize
- Possesses strong time management and organization skills
- Detailed oriented
- Flexible with the ability to routinely adapt to change
- Team player with excellent communication skills
- Knowledge of various healthcare industry billing and/or coding terminologies such as ICD-10, HCPCS, CPT, modifiers, and various Medicare NCD’s and LCD’s preferred but not required
Benefits
Comp & perks- Performance-based cash incentive awards
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10HCPCSCPTbillingcodingclaims platformcustomer servicemultitaskingtime managementdetail-oriented
Soft Skills
communicationintegritytrustorganizationflexibilityadaptabilityteam playerproblem-solvingcustomer satisfactionservice delivery
Certifications
high school diplomaGEDcontinuing education