Health Insurance Customer Service Representative

2 weeks ago


Miami, United States PayerFusion Holdings LLC Full time

Job Description

About Us:

PayerFusion Holdings is looking for an efficient and personable French Customer Service Specialist to work in rapidly growing healthcare Third Party Administrator. Please join a team of excellence and reward. Must be fully proficient in the use of the French, English.

We are a service-based company creating a full-featured software suite for the healthcare industry from scratch. Innovative drives us in creating a unique and meaningful experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.
Responsibilities:

  • Main responsibilities will be liaising between providers and insurance companies to provide excellent service to insured members.
  • Must be quality driven and a self-starter that is responsible and with excellent follow up skills.
  • Excellent communications skills via email and telephone (must be proficient in good telephone use and etiquette skills) to communicate with clients and interact with medical providers and our in-house case management department.
  • Must be proficient in all functions of computer office use including email, excel, crystal reporting and other day to day software tools
  • Must be fully proficient in the use of the French language- written and spoken communication Experience:
  • The right candidate must be bilingual in French and English proper use of the languages in both written and oral form. Spanish is a plus but not required.
Requirements:
  • Must speak French
  • We prefer someone with ICD 10 and CPT 4 knowledge and an understanding of the healthcare forms (UB 04 and CMS 1500).
  • Preferably must have previous medical field expertise in working in a health insurance company or HMO plan with authorizations, patient referrals and or customer service sales.
Bonus Points:
  • We provide excellent health and dental insurances. 401K and other supplemental benefits
  • We also provide of time off (vacation/sick and holiday) and a pleasant working environment.


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