Miami, Florida
14 days ago
Customer Service Representative
* Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOP's according to policy and client authorizations

* Tracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providers

* Provide guidance, support and advice to international members seeking medical treatments or procedures

* Responds to routine phone inquiries and written correspondence related to authorizations and claims status

* Screens and routes complex cases to the appropriate manager

* Navigates multiple systems to obtain necessary data to issue GOP's

* Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly

* Able to be a part of a on-call/duties rotating schedule (after normal office hours and weekends)

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