Descripción del puesto

Core Responsibilities:

• Respond to emails promptly and professionally both in Spanish and English
• Handle incoming calls in accordance with quality standards
• Work effectively in a fast-paced environment with a strong sense of urgency
• Send VOB (Verification of Benefits) and GOP (Guarantee of Payment) to facilities, confirm receipt, and ensure coordination for insured cases
• For out-of-network facilities, attempt to arrange direct billing; escalate to Provider Relations if issues arise
• Communicate with medical facilities to confirm billing acceptance
• Follow up on urgent requests and outstanding documentation (medical records, bills, etc.)
• Maintain ongoing communication with facilities to obtain required information
• Build and maintain positive relationships with providers, both in-network and out-of-network, to expand our network base
• Assist with additional administrative tasks for Travel Assistance (Assist + Case Management), including MR and MRF processing
• Collaborate closely with Case Management and Account Management teams
• Maintain and update provider and contact databases
• Stay current with professional and technical knowledge

Requisitos

Qualifications and Experience

• Bilingual, proficiency in English and Spanish.
• Strong critical thinking and problem-solving skills
• High level of engagement and accountability
• Previous experience in the health services field a
• Flexible schedule to accommodate rotational shifts
• Collaborative team player with excellent interpersonal skills
• Strong work ethic and commitment to quality
• Skilled with Microsoft Office programs.

Additional Details:

• Rotational shifts

Beneficios

Benefits

• Medical and hospital insurance (after 3 months)
• Food vouchers - Pluxee. (after 3 months)
• Assigned parking
• Birthday Leave
• Integration activities