Bilingual Customer Care Rep - Remote - 1st shift!

SKYGEN; Oregon; Ibrido; USD 19.000 - 30.000; Tempo pieno

Vantaggi offerti da questo lavoro

Paid training

Health benefits

401(k)

Descrizione del lavoro

SKYGEN is seeking a fluent Spanish-speaking Customer Service Representative for a fully remote role supporting dental and vision benefits. You will assist with eligibility, claims, and enrollment while delivering empathetic customer experiences.

training is provided with a 90-day CST schedule; after training, typical hours are 8:30am-5:00pm CST, Mon-Fri, with occasional evenings or weekends during Medicare Open Enrollment.

Competenze

• Must be fluent in Spanish
• High school diploma or equivalent
• 1+ years of customer service experience in healthcare, call center, banking or retail
• Must have strong listening and communication skills
• Excellent data entry and typing abilities
• Ability to work occasional overtime
• Experience with Microsoft Office products (Word, Excel, Outlook) preferred

Mansioni

• Serve Dental and Vision callers with eligibility, benefits, authorizations, claims, and provider location assistance.
• Apply knowledge of claim adjustments and resubmission processes to resolve provider requests.
• Provide feedback on high-level claim issues to ensure prompt resolution.
• Support enrollment activities and update third-party insurance information.
• Act as liaison between client Member Services and our organization to resolve issues such as eligibility and appeals.
• Update providers on credentialing status and process.
• Educate callers on using the provider web portal to access information.
• Ensure calls are answered per guidelines and document interactions in systems.
• Escalate issues to leadership when needed and suggest process improvements.

Conoscenze

Fluent Spanish

Active listening

Empathy

Data entry

Multi-tasking

Communication skills

Typing

Formazione

High school diploma or equivalent

Strumenti

Microsoft Office

Word

Excel

Outlook

Descrizione del lavoro

Important things YOU should know:

Must be fluent in Spanish

Fully remote opportunity

Experience with Dental or Health insurance a preferred plus!

Training schedule: 8:00am-4:30pm CST Monday – Friday for the initial 90 days

Work schedule (after training): 8:30am-5:00pm CST - Mon - Fri

Hours of operation: 6:00am-10:00pm CST so shift could flex based on business need

Occasional evenings, weekends and holidays possible during Annual Medicare Open Enrollment: 10/1-3/31

$2.00/hour differential on Mon/Tues

Exceptional professional growth in a fun rewarding environment

What will YOU be doing for us?

Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience.

What is in it for YOU?

• Career growth in an inclusive culture
• Paid training
• Health benefits
• 401(k)

What will YOU be working on every day?

• Servicing our Dental and Vision callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area,
• Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests.
• Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a prompt resolution.
• Support enrollment activities including but not limited to assigning primary care providers, and updating third party insurance information.
• Act as liaison between our organization and the client’s Member Services staff to resolve issues such as eligibility and filing appeals and grievances.
• Provide updates to providers with questions regarding the status of their credentialing application.
• Recognize provider questions that could be handled through the use of the provider web portal and provide education to these callers on the benefits of utilizing the technology available.
• Ensure all calls are answered according to company and client guidelines.
• Accurately document call information and resolution in our internal systems.
• Apply effective diffusion techniques when necessary to ensure our customers feel heard, valued and supported.
• Properly identify issues that need to be escalated appropriately to the leadership team.
• Additional Responsibilities:Provide recommendations on system enhancements and process improvements to management.
• Keep our Provider Relations team updated with provider manual discrepancies, change in locations or any other provider related issues.
• Participate in departmental projects when applicable.

What qualifications do YOU need to have to be GOOD candidate?

• Required Level of Education, Licenses, and/or Certificates
• High school diploma or equivalent
• Required Level of Experience1+ years of job related customer service experience within industries such as healthcare, call center, banking or retail
• Required Knowledge, Skills, and Abilities
• Must be fluent in Spanish
• Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and Outlook
• Ability to work occasional overtime as needed
• Excellent listening and communication skills
• Superior customer service skills including the natural ability to provide empathy
• Strong data entry/typing skills
• Strong navigation skills and the ability to multi-task
• Excellent attention to detail
• Critical thinking skills to quickly analyze and clearly understand a specific request or customer need
• Leverage knowledge and resources to provide the appropriate solutions

What qualifications do YOU need to be a GREAT candidate?

• Preferred Level of Experience1+ years of job related customer service experience within the dental, vision or medical industry
• Previous experience working in a virtual environment
• Understanding of dental, vision and/or medical insurance terminology
• Previous call center experience

SKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.

Equal Opportunity Employer, including Protected Veterans and Individuals with Disabilities.