Remote Medical Network Care Specialist (Bilingual)

Texas Mutual Insurance Company; Austin (TX); Hybrid; USD 32,000 - 39,000; Full time

Benefits offered by this job

Annual performance bonus

Employer 401(k) match

Day-one health, Rx, vision & dental

Job summary

Texas Mutual Insurance Company in Austin, TX is seeking a Medical Network Customer Care professional to answer inbound calls and emails, locate in-network providers, schedule appointments, and resolve inquiries within our workers’ compensation network. You will also help maintain provider information through credentialing activities and audits.

Preferred candidates will be bilingual in English and Spanish and have strong communication skills to support policyholders, injured workers, and

Qualifications

• High school diploma or equivalent.
• At least two years of related work experience.
• Minimum typing speed of 40 words per minute.

Responsibilities

• Answer phone calls and emails from injured workers, policyholders, agents, providers, and other partners and resolve moderately complex to complex inquiries related to our workers’ compensation network.
• Use online systems to locate in-network providers, schedule appointments, and approve requests for out of network treatment.
• Send notification letters to customers when coverage changes occur.
• Enter complaints for network grievances into internal database.
• Manage credentialing of medical providers or groups for participation in our network.
• Update our network's online provider directory with physician photos and biographies.

Skills

Typing 40 WPM

Phone & Email Support

Credentialing

Bilingual (English/Spanish)

Education

High school diploma or equivalent

Job description

Texas Mutual Insurance Company in Austin, TX is seeking a Medical Network Customer Care professional to answer inbound calls and emails, locate in-network providers, schedule appointments, and resolve inquiries within our workers’ compensation network. You will also help maintain provider information through credentialing activities and audits.

Preferred candidates will be bilingual in English and Spanish and have strong communication skills to support policyholders, injured workers, and