Bilingual Customer Service Rep

Location: Tucson, AZ
Date Posted: 11-01-2018
Customer Service Representative – Managed Care
Tucson, AZ
*** This is a Full-Time, Benefits Available, CONTRACT assignment, expected to last around 6 months, or longer! ***
** Requires Candidates to be fully bilingual in English and Spanish! **

Customer Service Job Summary: 
  • Receives, documents, researches and responds to customer inquiries following established policies, procedures and standards. (Answer, identify, research, document, and respond to a diverse and high volume of inbound and outbound health insurance related.)
  • Prepares a variety of correspondence and documents in response to customer inquiries, following departmental procedures and compliance guidelines. (Meet quality, quantity, and timeliness standards.)
  • Facilitates timely research and issue resolution through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives.
  • Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the department’s ongoing goals and objectives.
  • Fulfills informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management. 
Customer Service Background:  
  • Requires an education level of at least a high school diploma or GED.
  • 1-2 years customer service experience with around 1 year experience in an office setting, call center setting, or phone support role.
  • Some healthcare experience is required.
  • Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product.
  • Knowledge of health care delivery system, Medicaid/Medicare and related state programs is a significant plus.
  • Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
  • Must test at a minimum of 35 wpm typing with a high level of accuracy.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Bilingual in English and Spanish is required.
480.425.2451 (CALL – TEXT – FAX)
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