Bilingual - Spanish Eligibility Representative

Description:

• Interact with health plan members through outbound and inbound telephonic contact to review and assess health plan member’s eligibility for services. • Contribute to the department’s success by achieving business goals . o Achieve daily, weekly, and monthly quality and production goals. o Adhere to call handling process. o Adhere to call quality standards by ensuring proper phone etiquette and adherence to scripts, make accurate and descriptive system documentation. • Follow-up with members as assigned. • Adhere to assigned schedule. • Review all correspondence sent by Optum and management with current information of state and federal regulatory requirements. • Review all correspondence sent by Optum and management with updates on the organization. • Comply with all company and department operational guidelines and policies. • Participate in Optum staff and operational development programs as assigned. • Performs other duties as assigned. • Efficiently manage customer calls and multiple computer application • Receptive to feedback from management on coaching opportunities • Ability to provide quality customer service during every interaction with health plan member’s • Maintain a confident, helpful, and positive tone on all calls • Excellent data entry and internet navigation skills • Professional demeanor and dependable work ethic • Ability to work independently. • Demonstrates patience and empathy. • Business demeanor and skills with the ability to communicate effectively (verbal, written and listening skills). • Promote company services in an outbound call center (production driven) environment. • Professional behavior with courteous, polite, and energetic qualities. • High commitment to accuracy, high-quality work, and detail-oriented. • Must be driven and motivated to exceed individual and team goals. • Able to learn and adapt to changing environments, applications, and software.

Skills:

Call center, Medicaid, Appointment scheduling, Insurance verification, Customer service, Bilingual, Health care

Top Skills Details:

Call center,Medicaid,Appointment scheduling,Insurance verification

Additional Skills & Qualifications:

Education: High School Diploma or Equivalent 2–3-year External Sales/Customer Service OR Call Center Internal 2-3 years

Experience Level:

Intermediate Level