Customer Service Representative
G
GLOBAL EXCEL MEXICO
📍 tlacoquemeca, tlacoquemeca, Mexico
Job Description
**Job Purpose**
**Main daily responsibilities, but not limited to**:
- Register Policies in the system with proper eligibility, add Members/dependents and create appropriate tasks that will trigger proper workflow
- Documentation of all calls or communications in the Members record (when applicable)
- Confirmation of Benefits and Eligibility information to members and providers.
- Identify medical services that require an authorization from the Corporate Client and take appropriate actions (initiate authorization, provide status on existing ones and escalate any issues to Case Management)
- Coordination of medical services in/outside the USA, this, in most cases, include locating and contacting several Providers who have the availability and suit the Members preferences and accept our Guarantee of Payment for a cashless experience
- Ensure that Providers send claims to the proper address for processing and/or payment and that only the correct amounts are collected ...
**Main daily responsibilities, but not limited to**:
- Register Policies in the system with proper eligibility, add Members/dependents and create appropriate tasks that will trigger proper workflow
- Documentation of all calls or communications in the Members record (when applicable)
- Confirmation of Benefits and Eligibility information to members and providers.
- Identify medical services that require an authorization from the Corporate Client and take appropriate actions (initiate authorization, provide status on existing ones and escalate any issues to Case Management)
- Coordination of medical services in/outside the USA, this, in most cases, include locating and contacting several Providers who have the availability and suit the Members preferences and accept our Guarantee of Payment for a cashless experience
- Ensure that Providers send claims to the proper address for processing and/or payment and that only the correct amounts are collected ...