Bilingual Customer Service Representative

Job Summary

A company is looking for a Bilingual Concierge Customer Service Representative.

Key Responsibilities

• Respond to telephone and email inquiries from members and providers within defined service standards
• Negotiate with providers for acceptance of plans without network agreements and assist members with benefits and healthcare questions
• Document all calls received in the system-based call log

Required Qualifications

• Minimum High School Diploma or G.E.D.; Associate degree or higher preferred
• Customer Service / Call Center experience
• Fluency in English and Spanish with strong reading and writing abilities in both languages
• Proficiency in Microsoft applications and computer navigation
• Knowledge of provider organizations, networks, and CMS Medicare reimbursement rates is preferred