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Bilingual Provider Service Advocate - Jacksonville, United States - Ascendo
Description
We are looking for a Bilingual (Spanish Speaking) Provider Service Advocate
Are you passionate about contributing to the improvement of healthcare delivery systems? We're seeking dedicated individuals to join our team, where our mission is to enhance the lives of millions of Medicare beneficiaries and the healthcare providers who serve them.
Be a part of our dynamic environment and help revolutionize Medicare services for the benefit of those who rely on them.
Benefits:
Comprehensive medical, dental, vision, life, and supplemental insurance plans from the first day of the month following hire dateShort- and long-term disability benefits401(k) plan with company match and immediate vestingFree telehealth benefitsComplimentary gym membershipsEmployee Incentive PlanEmployee Assistance ProgramRewards and Recognition ProgramsPaid Time Off and Paid Sick LeaveSummary: Handle inquiries related to Medicare Part A and/or B from various stakeholders such as billing offices, medical societies, and Managed Care Organizations.
These inquiries cover a wide range of topics including provider enrollment, Medicare appeals, claim payment information, and general coverage for multiple specialties.
Fluent communication in both English and Spanish is required for more than 50% of interactions.Essential Duties & Responsibilities:
Customer Service (50%):
Communicate effectively and courteously with all customers.
Ensure positive and productive interactions with customers by addressing their needs and requests.
Use clear verbal and written communication, avoiding technical language.
Adapt responses to accommodate customers with varying levels of familiarity with Medicare regulations.
Research and Problem Identification (25%):
Utilize multiple systems to investigate and record customer issues.
Provide customers with additional resources for self-service options.
Access various databases to troubleshoot claim denials, debt recovery, and other issues.
Problem Solving and Analysis (25%):
Analyze claims processing systems to identify reasons for claim denials.
Review debt recovery systems to address pending accounts receivables and overpayment issues.
Interpret medical coverage policies to resolve claim denials and reductions.
Address other customer issues such as pending appeals and Medicare Secondary Payer concerns.
Required Qualifications:
High School Diploma or GED1 year of relevant work experience, including call center or claims experienceProficiency in internet and PC software navigationStrong problem-solving and decision-making skillsExcellent listening and verbal communication skills in both English and Spanish
Preferred Qualifications:
Post-secondary education or courseworkExperience in the insurance industry, medical coding, or related fields
This position offers remote work opportunities in select states, with possible in-office or hybrid arrangements in certain locations. Applicants must meet residency requirements set by the Federal Government and CMS.
"We are an Equal Opportunity Employer/Protected Veteran/Disabled."
EOC
Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.
Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law
Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.
Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.
Contact informationAmy Smith
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