Bilingual Call Center Representative Position Available In Orange, Florida
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Company:
TEKsystems
Salary:
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Job Description
Description Responsibilities include answering incoming calls related to eligibility, benefits, claims, and authorization of services from members or providers.
- Respond accurately to inbound calls and process inquiries from providers and members.
- Resolve customer service or billing issues under general supervision, using sound judgment.
- Contact customers to address complex inquiries or inform them of claim investigation outcomes.
- Refer unresolved grievances, appeals, and claim resolutions to appropriate departments.
- Maintain records of customer interactions and transactions.
- Listen actively and probe callers to understand the purpose of their calls.
- Research and communicate information regarding member eligibility and claim status.
- Educate providers on claim submission processes and treatment plan requirements.
- Perform follow-up tasks to ensure member or provider needs are fully met.
WORK ENVIRONMENT
: Terrific work life balance: Fully Remote! Monday-Friday, 9:45AM-6:15PM.
