Customer Service Representative
Insight Global
Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOPs 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 GOPs
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)
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here.
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
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 GOPs
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)
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here.
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
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