Bilingual Call Center Representative

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iCareManager

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Healthcare Insurance

iCareManager is a company that operates as an integrated specialty network and administrator of comprehensive ocular care services. As a part of VSP Vision, iCareManager focuses on promoting exceptional member and provider experiences and improving ocular health outcomes while reducing costs. The company provides a range of ocular health managed care solutions for healthcare plans, including Medicare, Medicaid, and other government programs. With a network of optometrists and ophthalmologists, iCareManager simplifies ocular care delivery through network management, MSO services, and utilization management, among others. The organization emphasizes improving diabetic vision outcomes, access to affordable eye care, and efficient claims processing.

51 - 200 employees

⚕️ Healthcare Insurance

📋 Description

• Direct communications with members, providers, and health plans • Confirmation of benefits and eligibility information to members, providers, and health plans • Provide confirmation of participating providers in the network • Provide claim status to members, clients, and providers • Resolve problems by identifying the customer's complaint; selecting and explaining the best resolution for the issue, and escalating to upper management when necessary • Keep managers informed of any issues that may require their attention to avoid or resolve an existing problem • Apply knowledge, experience, common sense, and critical thinking to all issues being dealt with • Multi-task and prioritize • Respond to general inquiries from members and providers (plan benefits, limits, co-pays, deductibles, policy procedures, reimbursements, etc.) • Redirect callers when necessary • Follow up until completion on all issues that are not resolved on the initial contact, and keep parties updated on steps and actions taken • Service the maximum number of callers in the quickest and most efficient way without sacrificing the quality of the service

🎯 Requirements

• 1+ year of Member Services experience in the Healthcare industry • Proficient with computers • English and Spanish bilingual