Customer Service Representative- Bilingual Spanish

Description - Fresno CA - On-site

**Bilingual Spanish**

1 +year of customer service

1 + year of scheduling, insurance verification or healthcare exp

Experience working with multiple portals while providing CSR support

Responsible for outbound calls - using call center software

• Develop and maintain working knowledge of current products and services offered by the company

• Answer all calls and emails in a timely manner, in adherence to their goals

• Document all call information according to standard operating procedures

• Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs

• Process orders, route calls to appropriate resource, and follow up on customer calls where necessary

• Review all required documentation to ensure accuracy

• Accurately process, verify, and/or submit documentation and orders

• Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles

• Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required

• Must be able to navigate through multiple online EMR systems to obtain applicable documentation

• Enter and review all pertinent information in EMR system including authorizations and expiration dates

• Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies

• Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered

• Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.

• Meet quality assurance requirements and other key performance metrics

• Facilitate resolution on customer complaints and problem solving

• Pays attention to detail and has great organizational skills

• Actively listens to patients and handle stressful situations with compassion and empathy

• Flexible with the actual work and the hours of operation

Skills

customer service

Top Skills Details

customer service

Additional Skills & Qualifications

Computer skills

Customer Service

Data Entry