Job Overview: The role requires communication between medical providers and our client as well as members. The customer service rep is to coordinate treatment and provide authorizations/issue GOP's for members in Latin America, Europe, etc. Respond to inquiries pertaining to authorizations and documentation requirements.
Responsibilities and Duties:
• Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOP's 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 GOP's
• Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, 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 HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:
Required Skills & Experience
• Bilingual French and English speaker
• 2+ years of experience in customer service, health insurance field a plus
• High school diploma/GED required
• Strong analytical, detail-oriented and accuracy skills are required
• Ability to manage time effectively, set priorities, meet deadlines as well as adapt to change
• Desire to work in a small entrepreneurial environment
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
We are a staffing agency helping individuals find jobs and employers fill open positions.
Based in Atlanta, Insight Global is a premier provider of employment and staffing solutions to Fortune 1000 customers across the United States and Canada. We provide long-term contract, short-term contract, temporary-to-permanent, direct placement, and enhanced staffing services. Insight Global specializes in placing contract job seekers into Information Technology, Accounting and Finance, Engineering (non-IT), and Government jobs.
Since our inception in 2001, we have experienced unprecedented growth within our industry, rapidly expanding from an Atlanta-based start-up to one of the most successful staffing firms in America.
Our core staffing services are the backbone upon which Insight Global was founded and have driven our success. We cater our delivery approach and recruiting efforts to meet each client’s unique demands, ensuring that we deliver both maximum client value and the differentiated Insight Global experience.