Soluciones Integrales de Empleo y Reclutamiento , regístrate y encuentra un trabajo ideal

Company Overview

Our client is a group of talented, driven professionals dedicated to improving the lives of clients, providers, and injured workers. They offer an exciting workplace environment with competitive salaries and benefits, where culture, growth, and opportunity thrive.

Job Overview

Our client is looking for a Customer Service Professional who is fluent in both English and Spanish. This position involves supporting and assisting clients with inbound and outbound calls, managing referrals, scheduling, and ensuring seamless communication across stakeholders. Strong proficiency in both English and Spanish, along with a reliable internet connection for remote work, is essential for success in this role.

Responsibilities

• Receive inbound phone and electronic referrals from workers' compensation insurance companies, providers, patients, etc.
• Open new cases accurately following policy and procedures.
• Make outbound contacts with adjusters and Physical Therapy Centers to verify and request case information.
• Update adjusters and nurse case managers on patient status in a timely manner.
• Maintain TAA goal (Total Agent Availability) on a monthly basis.
• Consistently meet MedRisk Customer Support Service & Quality standards.
• Review and manage case data, including data entry, updates, and accuracy checks.
• Communicate with insurance companies to verify information and request necessary paperwork.
• Schedule Physical Therapy appointments by making outbound calls to Providers and Patients.
• Adhere to interdepartmental procedures, policies, and URAC Utilization Management Standards.

Qualifications / Skills

• Bachelor’s degree preferred or equivalent industry experience.
• Minimum of 3 years in a call center environment handling high-volume inbound and outbound calls.
• Strong verbal and written communication skills with a customer-centric approach.
• Highly developed problem-solving abilities.
• Strong data entry skills with attention to detail and organization.
• Proficient in MS Word, Excel, and Outlook.
• Ability to multi-task and work independently.
• Bilingual in English and Spanish is required

Other relevant information

• Must be comfortable with virtual video meetings.
• Reliable internet connection required for remote work.

APPLY HERE: https://www.linkedin.com/jobs/view/4065454713/?alternateChannel=search&refId=iXVdMnLfYEZX3TsVjBkH8Q%3D%3D&trackingId=6zomKXDMpxymhOCEfqcI5A%3D%3D&trk=d_flagship3_search_srp_jobs