Customer Service Specialist/Bilingual Spanish

Leading Health Care company is searching for a Bilingual (Spanish speaking) customer service representative to join their team.

KEY WORKING RELATIONSHIPS :

Successful accomplishments and primary

accountabilities of this position will depend upon establishing and maintaining effective

working relationships with a variety of people both inside and outside of the functional

area. Such people may include, but are not limited to : interdepartmental leadership,

education and development, the patient, client hospital staff, government, insurance

company representatives, vendors, compliance, finance, decision support and contact

management as well as top officers, senior management and staff.

Principal Responsibilities :

• Meet with patients and review bills and explain outstanding balance
• Understand Explanation of Benefits and be able to communicate with

patient / Guarantor

Thoroughly review all notes in patient accounts for potential insurance benefit or

financial assistance eligibility.

Request necessary documents from client to perform insurance billing or financial

assistance approval.

Contact patients when additional information is required to complete billing or financial

assistance.

Provide thorough, efficient, and accurate documentation and updates in all required

systems for each work event.

Identify root cause of issues and concerns, determine resolution, and refer to

Management.

• Knowledge, understanding, and compliance with company policies and procedures.
• Provide feedback to management concerning possible problems or areas of

improvement.

• Make recommendations to implement improved processes.
• Perform other duties as assigned by management.

Education and Experience :

High School Diploma or General Educational Development (GED) certificate or

equivalent relevant work experience desired.

• Previous insurance / medical billing / customer service experience preferred.
• Proficient personal computer skills, including Microsoft Office.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to prioritize and organize work in a multitasked environment.
• Ability to maintain the highest level of confidentiality.

Work Environment :

We provide Equal Employment Opportunity for all individuals regardless of race, color,

religion, gender, age, national origin, marital status, sexual orientation, gender identity,

status as a protected veteran, genetic information, status as a qualified individual with a

disability and any other basis protected by federal, state or local laws.

ESSENTIAL POSITION EDUCATION, EXPERIENCE, COMPETENCIES AND

REQUIREMENTS :

Experience with hospital or physician medical billing.

Bi-lingual - must have the ability to speak Spanish.

Medical experience, either practical or classroom knowledge needed.

Demonstrated excellent verbal, written and interpersonal communication skills.

Demonstrated knowledge of HIPAA rules and regulations.

Attention to detail.

Good attendance record.

Proven ability to work collaboratively in a team environment.

Demonstrated ability to perform work in alignment with company mission and values.

Proven PC proficiency in MS Office Suite Applications.

Education : High School Diploma or GED

Eligible for quarterly bonus of up to $500

SHIFT : Must be able to work an 8 hr. shift, Monday Friday 8 : 30 AM 5 : 00 PM.

Excellent Benefits including 401k plan with a match!!!!