Client Relations Specialist
2 weeks ago
Key Responsibilities:
Facilitate and assess approvals, eligibility, and communicate with healthcare providers while issuing Guarantees of Payment (GOPs) in accordance with established policies and client authorizations.
Monitor and follow up on all cases across Latin America, ensuring effective communication with medical providers.
Offer guidance, assistance, and information to international members seeking medical treatments or procedures.
Address routine phone inquiries and written correspondence regarding authorizations and claims status.
Evaluate and direct complex cases to the appropriate management personnel.
Navigate various systems to gather essential data for issuing GOPs.
Confirm payments and/or denials as well as treatment authorization status, informing the relevant parties accordingly.
At Insight Global, we are dedicated to fostering diverse and inclusive workplaces where individuals can express their authentic selves daily.
Qualified candidates will be considered for employment without regard to 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 require assistance or a reasonable accommodation due to a disability during the application or recruitment process, please send a request.
Qualifications:
- Bilingual in French or Spanish
- Experience in the medical or insurance sector
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