Customer service representative Jobs in Miami, FL

Job Overview :

The role requires communication between medical providers and our client as well as members. The customer service rep is to coordinate treatment and provide authorizations / issue GOP’s for members in Latin America, Europe, etc. Respond to inquiries pertaining to authorizations and documentation requirements.

Responsibilities and Duties :

• Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOP’s according to policy and client authorizations
• Tracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providers
• Provide guidance, support and advice to international members seeking medical treatments or procedures
• Responds to routine phone inquiries and written correspondence related to authorizations and claims status
• Screens and routes complex cases to the appropriate manager
• Navigates multiple systems to obtain necessary data to issue GOP’s
• Verify payments and / or denials as well as treatment authorization status and inform the appropriate party accordingly
• Able to be a part of a on-call / duties rotating schedule (after normal office hours and weekends)

Required Skills & Experience

Compensation :

18.00 / hr to $19.00 / hr. Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and / or other paid time off as provided by applicable law.