Customer Services RepresentativeInsight Global • Miami, FL, US

Customer Services Representative

Insight Global • Miami, FL, US

5 days ago

Job type

Full-time

Job description

Job Description

Job Overview : The role requires communication among medical providers, our client, and members. The customer service rep is to coordinate treatment and provide authorizations / issue GOPs for members in Latin America, Europe, etc. Respond to inquiries about authorizations and documentation requirements.

Responsibilities and Duties :

Coordinate and determine approvals, eligibility, and inform the medical providers, as well as issue GOPs according to policy and client authorizations
Tracking and follow-up of all cases, 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 the necessary data to issue GOPs

Verify payments and / or denials, as well as treatment authorization status, and inform the proper party accordingly

Able to be a part of an on-call / duties rotating schedule (after regular office hours and weekends)

Qualifications :

Bilingual / English and French required

2+ years of experience in customer service, health insurance field a plus

High school diploma / GED required

Strong analytical, detail-oriented, and accuracy skills are required

Ability to manage time effectively, set priorities, meet deadlines, and adapt to change

Desire to work in a small entrepreneurial environment

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Customer Service Representative • Miami, FL, US

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