Bilingual Customer Engagement Specialist
- customer support
- excel
- recruiting
Requirements: High School Diploma or equivalent required. 2+ years of experience in a healthcare customer service role . 1+ year of
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Requirements: High School Diploma or equivalent required. 2+ years of experience in a healthcare customer service role . 1+ year of
Requirements: High School Diploma or equivalent required. 2+ years of experience in a healthcare customer service role . 1+ year of
↳ Conduct monthly and/or quarterly meetings with provider groups documenting discussions, issues, attendees, action… ↳ Consistently document all provider interactions, including calls, emails, virtual visits, in accordance with…
↳ Conduct monthly root cause analysis on recurring claim issues and recommend process improvements. ↳ Maintain accurate documentation of claim activity and resolution steps in internal systems.
↳ Functional Competencies: Coordinate all aspects of regulatory and client audits (i.e., pre-site deliverables, mock…
↳ Identify and pursue new sales opportunities within assigned territory to meet or exceed revenue and growth targets. ↳ Prepare, present, and deliver competitive proposals and bid responses to employer clients.
↳ Evaluate and suggest changes as necessary to optimize processes and efficiencies.
Core: Working knowledge of NCQA standards and payer credentialing standards. Knowledge of vision, dental or hearing industry.
↳ Interpret and implement EDI files in accordance with ANSI ASC X12 standards. ↳ Build, configure, and maintain templates for new 834 electronic files as business needs evolve.
↳ Identify and pursue new sales opportunities within assigned territory to meet or exceed revenue and growth targets. ↳ Prepare, present, and deliver competitive proposals and bid responses to employer clients.
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