Job DescriptionCoordinate and determine approvals, eligibility and inform the medical providers as well as issue GOPs according to policy and client authorizationsTracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providersProvide guidance, support and advice to international members seeking medical treatments or proceduresResponds to routine phone inquiries and written correspondence related to authorizations and claims statusScreens and routes complex cases to the appropriate managerNavigates multiple systems to obtain necessary data to issue GOPsVerify payments and/or denials as well as treatment authorization status and inform the appropriate party accordinglyAble to be a part of a on-call/duties rotating schedule (after normal office hours and weekends)We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their 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 need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com . To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Skills and RequirementsBilingual /English and Spanish required Portuguese/French a plus2+ years of experience in customer service, health insurance field a plusHigh school diploma/GED requiredStrong analytical, detail-oriented and accuracy skills are requiredAbility to manage time effectively, set priorities, meet deadlines as well as adapt to changeDesire to work in a small entrepreneurial environment nullWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration 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 oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.
