Job Description
Responsibilities and Duties:
Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOP's according to policy and client authorizations
Tracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providers
Provide guidance, support and advice to international members seeking medical treatments or procedures
Responds to routine phone inquiries and written correspondence related to authorizations and claims status
Screens and routes complex cases to the appropriate manager
Navigates multiple systems to obtain necessary data to issue GOP's
Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly
Able to be a part of a on-call/duties rotating schedule (after normal office hours and weekends)
Skills and Requirements
Qualifications:
Bilingual /English and Spanish required Portuguese/French a plus
2+ years of experience in customer service, health insurance field a plus
High school diploma/GED required
Strong analytical, detail-oriented and accuracy skills are required
Ability to manage time effectively, set priorities, meet deadlines as well as adapt to change
Desire to work in a small entrepreneurial environment Bilingual null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].