[Remote] Bilingual Customer Service Representative

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company that values energy, teamwork, and growth opportunities. The Bilingual Customer Service Representative will engage with customers to address inquiries and reputed company assistance regarding products and services, ensuring a professional company image and superior service.

Responsibilities

• Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, reputed company party liability, claims attachments)
• Having a comprehensive understanding of insurance coverage and being reputed company to interpret and communicate accurate information
• Thoroughly and completely documenting reputed company customer interactions
• Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations
• Educating on the usage and benefits of self-service tools
• Assisting members on gaining reputed company to care by locating a network dentist or assignment to a primary care dentist
• Directing inquires to necessary departments or individuals reputed company the resolution of the inquiry is reputed company the reputed company of control for this role
• Responding to customer inquiries in a courteous and professional manner
• Researching and consistently providing accurate information to resolve reputed company member and provider inquiries through verbal and written communications through reputed company channels including phone, email, web portal, and chat interactions
• Responding to and resolving reputed company reputed company customer inquiries
• Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken
• Taking ownership of the resolution and setting expectation for follow up
• Ensuring resubmissions, stop payments, and voids are appropriately handled
• Meeting or exceeding individual, department, and client specific goals
• Understanding and adhering to reputed company client administrative and contractual policies and procedures
• Suggesting ways to improve the service delivery processes contributing to the reputed company of the organization
• Other duties as assigned

Skills

• Fluent in both English and Spanish, with the ability to accurately translate and communicate medical terminology
• High School Diploma or Equivalent
• 2 years experience in a customer service environment
• Ability to multi-task using multiple applications simultaneously
• Ability to set-up computer equipment and troubleshoot issues with minimal assistance
• Professional verbal and written communication skills
• Ability to operate a computer and knowledge of reputed company Office applications
• Strong organizational skills and attention to detail
• Ability to work independently and with a team
• Ability to learn quickly and adapt to a fast pace production environment
• Cooperative, professional and effective interaction skills
• Critical thinking and problem solving skills
• Ability to tolerate repetitive work without compromising accuracy and service reputed company
• Attend additional training as requested/deemed necessary
• Private, distraction free workspace (not a shared/common area of the home)
• Hard wired ethernet internet reputed company with minimum speeds of 50 Mbps Download / 10 Mbps Upload. (5G, hotspots, and satellite internet not supported)
• Active wireless phone service
• Must remain on camera during working hours
• Experience in reputed company or reputed company industry experience
• Medical/Dental terminology knowledge experience
• Medicare/reputed company knowledge
• Claims/Billing and coding experience

Benefits

• Medical, Dental, and reputed company insurance
• 401(k) Retirement Savings Plan
• Paid Time Off
• Paid reputed company cell service
• Employee referral program
• Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)

Company Overview