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Bilingual Customer Service Representative

San Antonio, TX, United States

Overview

We focus on providing the environment, selection process, benefits, and training to ensure that we have agents of the highest caliber. We know a quality agent makes the difference for customers and how a great customer experience influences how they feel about the brand they have chosen.

Headquartered in Washington, D.C., we have delivery locations across 26 sites in seven countries and maintain a network of over 30,000 employees.

About the role:

Customer Service Representatives will be working directly with the customer to answer general inquiries, address concerns, and assist with requests about products and services across multiple lines of business. The CSR must project a professional company image and provide superior customer service while working with customers through any of the customer contact channels.

Responsibilities

Your day to day will involve:

Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments).

Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information.

Thoroughly and completely documenting all 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 access to care by locating a network dentist or assignment to a primary care dentist.

Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role.

Responding to customer inquiries in a courteous and professional manner.

Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions.

Responding to and resolving internal and external complex 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 all client administrative and contractual policies and procedures.

Suggesting ways to improve the service delivery processes contributing to the success of the organization.

Other duties as assigned.

Qualifications

Some things we consider critical for this role: Applicants must be fluent in Spanish and English

High School Diploma or Equivalent

2 years experience in a high volume customer service environment

Experience in healthcare or related industry experience preferred

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 Microsoft 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 levels

Attend additional training as requested/deemed necessary

Preferred: Medical/Dental terminology knowledge experience

Medicare/Medicaid knowledge

Claims/Billing and coding experience

Benefits: Medical, Dental, and Vision insurance

401(k) Retirement Savings Plan

Paid Time Off

Paid T-Mobile cell service

$500.00 Employee referral program

Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)

Apply

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