Job Overview: The role requires communication between medical providers and our client as well as members. The customer service rep is to coordinate treatment and provide authorizations/issue GOPs for members in Latin America, Europe, etc. Respond to inquiries pertaining to authorizations and documentation requirements.

Responsibilities and Duties:
Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOPs 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 GOPs
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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