Bilingual, Spanish Commercial Health Call Center Representative
Job Description:
• Provide accurate and thorough information on commercial health plan benefits, eligibility, and claims.
• Handle inbound and outbound calls as well as respond to email inquiries from customers.
• Develop processes, call scripts, metrics, and desk top procedures.
• Deliver exceptional customer service experience to Evry members and providers.
• Partner with senior leadership daily.
Requirements:
• Minimum of 2 years of customer service experience supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy)
• Experience collaborating and supporting business and operational units such as Claims, Medical Management and Appeals and Grievance.
• Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes.
• Excellent communication skills, both verbally and in writing, and can articulate and communicate complex topics to a broad audience.
• Comfort working in a fast-paced, deadline-oriented work environment.
• Strong attention to detail and problem-solving skills with a high level of accuracy.
• Proficiency in Microsoft Office applications Word, Excel, Outlook OneNote, etc.
• Prior experience using a CRM, preferably SalesForce.
• **Fluency in both English and Spanish is required.**
Benefits:
• Competitive salary
• Comprehensive health, dental, and vision insurance as well as life and disability
• Retirement savings plan with company match
• Generous time off/vacation
• Professional development opportunities
• Flexible and remote work environment
Apply tot his job
Apply To this Job
• Provide accurate and thorough information on commercial health plan benefits, eligibility, and claims.
• Handle inbound and outbound calls as well as respond to email inquiries from customers.
• Develop processes, call scripts, metrics, and desk top procedures.
• Deliver exceptional customer service experience to Evry members and providers.
• Partner with senior leadership daily.
Requirements:
• Minimum of 2 years of customer service experience supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy)
• Experience collaborating and supporting business and operational units such as Claims, Medical Management and Appeals and Grievance.
• Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes.
• Excellent communication skills, both verbally and in writing, and can articulate and communicate complex topics to a broad audience.
• Comfort working in a fast-paced, deadline-oriented work environment.
• Strong attention to detail and problem-solving skills with a high level of accuracy.
• Proficiency in Microsoft Office applications Word, Excel, Outlook OneNote, etc.
• Prior experience using a CRM, preferably SalesForce.
• **Fluency in both English and Spanish is required.**
Benefits:
• Competitive salary
• Comprehensive health, dental, and vision insurance as well as life and disability
• Retirement savings plan with company match
• Generous time off/vacation
• Professional development opportunities
• Flexible and remote work environment
Apply tot his job
Apply To this Job