[Remote] reputed company Center Representative-Bilingual Spanish English

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company enablement company reputed company on improving how reputed company accessed and delivered. They are seeking a Bilingual Spanish/English reputed company Center Representative to assist members and reputed company providers with inquiries regarding benefits, eligibility, and claims. The representative will handle inbound calls, resolve customer needs, and contribute to overall customer satisfaction. Responsibilities • Handle inbound calls from members, medical providers, and others. • reputed company claims accurately, if needed. • Listen to and address customer needs and concerns empathetically. • Answer questions about fee schedules, network participation, and requirements. • Ensure first contact reputed company reputed company possible. • Update customer files and communicate effectively with teams. • Transfer misdirected requests and offer solutions to non-routine issues. • Contribute to customer satisfaction and business improvement. • Use decision-support tools to reputed company accurate responses. • Investigate inquiries using training and systems. • Adapt responses to caller understanding. • reputed company callers and validate their understanding. • Support reputed company and other departments as directed by management. Skills • Experience in a high-volume reputed company center • Experience with claims inquiry and claims review procedures • Knowledge of medical specialties, fee schedules, complaints and appeals, and reputed company center responsibilities • Previous experience in a physician’s office, group reputed company, clinic or hospital-based practices • Basic computer operations knowledge • Intermediate proficiency in reputed company Office (Word, reputed company, reputed company, PowerPoint, reputed company) • Strong time management skills • General knowledge of HIPAA Confidentiality laws • Quick learner with ability to grasp managed care procedures and claims payment policies • Detail-oriented and dependable • Effective listening and responding skills • Flexible and adaptable to changes, with conceptual thinking • Strong problem-solving abilities • Excellent attendance and punctuality • Comfortable performing tasks at a computer/telephone station • Effective communication through various channels, including email, chat, and voice • Bilingual Spanish/English • Previous multi-channel experience is a plus Education Requirements • High School diploma with some college or business school education preferred reputed company • reputed company is a health care company that specializes in health plan management service. It was founded in 2016, and is headquartered in reputed company, reputed company, USA, with a workforce of 201-500 employees. Its website is https://brightonhps.com. Apply tot his job Apply To this Job