Full Time

Bilingual Customer Service – Remote Jobs

Posted 1 year ago
$18 - $20 per hour

Job Description

Job Type: Bilingual Customer Service from home
Location: Georgia work from home
Company: SKYGEN

Position Description:

Our customer service representatives need to be adept at solving problems and have a strong sense of empathy for their clients. They must constantly take the time to carefully listen to and comprehend their inquiries in order to find a workable solution and create a positive customer experience.

What will YOU spend each day working on?

  • Helping callers seeking dental, medical, or vision services find a local provider by providing information on their eligibility, benefit coverage, authorizations, and claims;
  • Use your understanding of the claim modification and resubmission procedures to choose the best response to provider requests.
  • In order to guarantee that providers obtain a timely resolution, submit input to the Provider Relations team on high-level claim issues, such as but not limited to problems with reimbursement schedules or inconsistent information.
  • Assist with enrollment procedures, such as selecting primary care physicians and updating data on third-party insurance.
  • Serve as a point of contact between our company and the client’s member services team to address matters like eligibility and the submission of appeals and grievances.
  • Update providers who inquire about the progress of their application for certification.
  • Identify provider-related inquiries that could be resolved by using the provider web portal, and inform these callers of the advantages of making use of the available technology.
  • Ensure that all calls are answered in accordance with customer and business policies.
  • Ensure that call information and resolution are accurately recorded in our internal systems.
  • Use efficient dispersion strategies where required to make sure that our clients feel heard, appreciated, and supported.
  • Accurately determine which issues need to be escalated to the leadership team.
  • Provide management with recommendations on process and system improvements as additional responsibilities.
  • Keep our Provider Relations team informed of any discrepancies in the provider handbook, changes in locations, or other provider-related issues.
  • When appropriate, take part in departmental projects.

What requirements must YOU meet in order to be a good candidate?

  • High school diploma or the equivalent is the minimum level of education, licenses, and/or certificates required.

Required Experience Level

  • 1–3 years of customer service experience relevant to your career (reception, call center, banking, retail)
  • Knowledge, Skills, and Abilities Necessary
  • Basic familiarity with Microsoft Office suites, including Word, Excel, and Outlook.
  • Being able to work an 8-hour shift from 6 am to 8 pm central time.
  • The capacity to do occasionally required overtime.
  • Excellent communication and listening abilities
  • Superior customer service abilities, including the capacity to empathize naturally
  • Strong typing and data input abilities Strong navigational skills and the capacity for multitasking
  • Outstanding attention to detail Critical thinking abilities to swiftly assess and thoroughly comprehend a particular request or client need, and then to utilize knowledge and resources to give the required answers.