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MedWatch, LLC · 1 day ago

Bilingual Concierge Customer Service Representative

United States

Full-time

Remote

New Grad, Entry Level

$17/hr - $19/hr

MedWatch, LLC is seeking a Bilingual Concierge Customer Service Representative who will provide exceptional customer service by addressing inquiries in both Spanish and English. The role requires strong interpersonal skills and the ability to handle complex customer interactions effectively.

Clinical TrialsHealth CareMedical

Growth Opportunities

Responsibilities

Respond to telephone and email inquiries received from members and provider within defined service standards

Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers

Assist members with benefits and healthcare questions

Document all calls received in system-based call log

The incumbent may be responsible for duties or responsibilities that are not listed in this job description. Duties and responsibilities may change at any time with or without notice

Qualification

Customer Service ExperienceMicrosoft Applications ProficiencyBilingual (English/Spanish)CMS MedicareNegotiation SkillsAttention to DetailAnalytical SkillsInterpersonal SkillsProblem Solving SkillsOrganizational SkillsTime ManagementRelationship Building

Required

Minimum High School Diploma or G.E.D

Customer Service / Call Center experience

Strong customer relations, interpersonal skills

Strong appreciation and ability to handle confidential & sensitive information

Individual must speak fluent English and Spanish with strong reading and writing abilities in each language

Proficient with Microsoft applications and computer navigation

Knowledge of provider organizations and networks

Knowledge and understanding of CMS Medicare reimbursement rates

Ability to effectively negotiate rate structures

Patience and ability to handle difficult situations tactfully and diplomatically

Takes initiative to resolve situations and to accomplish projects actions and tasks

Excellent verbal and written communication skills

Independent judgment in decision making and problem solving

Ability to multi-task & anticipate potential needs/problems

Ability to build relationships with internal and external customers

Strong attention to detail

Strong computer skills

Strong analytical and research skills

Good organizational skills and time management

Effective problem solving and decision-making skills

Preferred

Associate degree or higher preferred but not required

Understanding of Self-Funded health benefits a plus

Health Payor background preferable in self-funded industry a plus

Claim processing skills a plus

Insurance verification or pre-certification a plus

Provider office/facility billing department or financial area

TPA experience a plus

Strong computer skills with proficiency in MS Office Suite products (Word, Excel, PowerPoint)

Company

MedWatch, LLC

Since 1988, MedWatch has been a leader in providing concierge member advocacy and medical cost containment solutions for TPAs, employer groups, school systems, municipalities, hospital systems, Taft-Hartley plans, and fully insured payers as well as for the reinsurance industry and stop loss carriers.

Founded in 1988