Customer Care Rep I - Bilingual
Elevance Health

Customer Care Representative I - Bilingual

Location: This is a virtual position with virtual training required for the first 10 weeks. We are hiring for our office location in Miami, Florida.

Work Schedule: Must be available to work any shift between the hours of 8:00 am - 8:00 pm, EST from Monday - Friday.

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. As a part of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

The Customer Care Representative I - Bilingual is responsible for acting as a trusted advisor and educator on inquiries such as coverage for medications and prior authorizations.

How you will make an impact:

• Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
  
• Analyzes problems and provides information/solutions.
  
• Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
  
• Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
  
• Researches and analyzes data to address operational challenges and customer service issues.
  
• Provides external and internal customers with requested information.
  
• Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
  
• Uses computerized systems for tracking, information gathering and troubleshooting.
  
• Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims.
  
• Seeks, understands and responds to the needs and expectations of internal and external customers.
  

• Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
  
• Bilingual (Spanish) or multi-language skills required. Must be able to pass a validated language test/assessment.
  

• This position is defined as remote, or work-from-home, however you may need to report into a local office periodically.