Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

As a Bilingual Customer Service Representative your duties revolve entirely around providing empathy and compassion to Avesis’ Members, Customers, and Provider relationships. Responsibilities include, but are not limited to, developing and enhancing relationships, responding to inquiries, and investigating, analyzing, and resolving issues for our members. You will assist with eligibility verification, pre-authorizations, denials, along with claim status and payment amounts regarding their Dental, Vision, and ancillary benefits. This work will all be done using our internal Avesis resources and online portals. Bilingual CSRs will be responsible for providing world-class customer service and maintain complete and accurate documentation of all interactions. Our chosen candidates will demonstrate responsiveness and a sense of urgency while resolving customer concerns and inquiries and maintain a high level of productivity and service quality standards while continually supporting individual, team, and company goals and initiatives.

**All Hires for This Role Will Start on Monday, July 22nd, 2024**

Essential Job Functions:

• Answer 40-60 inbound calls per day, responding to inquiries ranging from routine to moderate complexity.
• Capture member information accurately and update systems with complete and concise data.
• Ensure flexibility, stay organized, and comply with constantly changing programs and business rules.
• Investigate issues that cannot be resolved at the time of initial call.  Collaborate with internal teams to research and follow up with the Member until a resolution occurs.
• Comfortable working in the healthcare field, with an acute awareness for privacy, confidentiality and professionalism.
• Ability to determine proper issue escalation - joining forces with other internal departments for answers, therefore closing the loop and providing a solution for the Member.

Requirements:

• Fluent (Speaking, Reading and Writing) in English and Spanish REQUIRED.
• High School Diploma or equivalent required.
• 1 year of customer service experience required.
• Experience working in a high volume, healthcare, call center environment highly desired.
• Exposure to Medicare, Medicare Advantage, or Medicaid insurance claims preferred.
• Ability to work 40 hours/week, Monday - Friday, with availability between 7:00 a.m. and 9:00 p.m. Eastern Time required.
• Proficient computer skills including Microsoft Word, Excel, Outlook required.
• Capacity to work unencumbered and independently in a home office/virtual environment.
• Internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 50Mbps download/10Mbps upload required.
• No mobile hotspots permitted.
• Proficiency to navigate multiple computer software/systems and multi-screen functionality with ease.
• Demonstrated sensitivity, empathy, and compassion with Member callers.
• Able to maintain confidentiality and adhere to HIPAA requirements.
• Excellent written communication: ability to document caller interactions in a concise manner.
• Active listening skills while providing exceptional customer service.
• Excellent verbal communication skills with the ability to present information in an empathetic, clear, way. Must be adaptable, flexible, and readily able to adjust to changing situations.
• Able to apply logical thinking when evaluating problems.
• Adept to interacting with diverse populations.
• Overtime may be required at times during peak seasons.

FLSA Status: Hourly Non-Exempt

Hourly Range: $14.35 -$20.74

How to stay safe:

Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases  (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Av