Job Opportunities in United States
November 6, 2024
TPIS
Caguas
FULL TIME
Provider Representative - Bilingüe
Primary Responsibilities:
It may be necessary, given the business need, to work occasional overtime, weekends or during high season (October to January)
Bilingual Spanish/English proficiency
Job Type: Full-time
Pay: $13.00 per hour
Monday - Friday from 8:00am - 9:00pm.
Expected hours: 40 per week
Experience:
Job Type: Full-time
Pay: $13.00 per hour
Expected hours: No less than 40 per week
Language:
Job Type: Full-time
Pay: $13.00 per hour
Expected hours: 40 per week
Language:
- Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as eligibility, benefits, providers and claims
- Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being
- Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member
- Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
- Provide education and status on previously submitted pre-authorizations or pre-determination requests
- Meet the performance goals established for the position in the areas of: service levels, call quality, customer satisfaction and attendance (among others)
- 1+ years of customer service experience analyzing and solving customer problems
- Demonstrated familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
It may be necessary, given the business need, to work occasional overtime, weekends or during high season (October to January)
Bilingual Spanish/English proficiency
Job Type: Full-time
Pay: $13.00 per hour
Monday - Friday from 8:00am - 9:00pm.
Expected hours: 40 per week
Experience:
- Customer service: 1 year (Required)
- English (Required)
Job Type: Full-time
Pay: $13.00 per hour
Expected hours: No less than 40 per week
Language:
- English (Required)
Job Type: Full-time
Pay: $13.00 per hour
Expected hours: 40 per week
Language:
- English (Required)
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