Bilingual Resolution Specialist

Overview of Position
This position is responsible for providing high quality client focused service by using knowledge of local, state, and federal program requirements to efficiently maintain and update general applicant information, financial, medical and personal information to support client applications.
What will be my duties and responsibilities in this job?

  • Monitors and fosters ongoing communications with government agencies regarding the status of claims.
  • Documents and updates internal database based on daily contact of select members of assigned applicant group and application evidence requirements, i.e. work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history and documentation where evidence is required.
  • Reviews inbox for daily work queues, identifies missing evidence and follows through to completion.
  • Answers incoming calls from internal and external Customers.
  • Assists callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support application process.
  • Effectively educates and answers inquiries from patients and family representatives regarding application process.
  • Assists clients with scheduling appointments and reminding of appointments, as needed.
  • Identifies and takes appropriate actions to complete and submit required financial, medical and personal information forms to support the client application process.
  • Diligently follows-up with institutions/businesses resolving issues ultimately affecting application approval.
  • Identifies appropriate escalation points and works with direct manager to resolve issues.
  • Reviews outgoing client material for accuracy prior to submittal.
  • Complies with ethics, privacy and compliance policies and procedures.

What are the requirements needed for this position?

  • Associates degree or 4-year degree
  • Bilingual (English/Spanish) required.
  • Ability to apply knowledge of federal and state programs to benefit coverage for the client.
  • Strong communication skills (verbal & written); demonstrated experience working with people of various educational, experience communicating government caseworkers and hospital personnel.
  • Strong organization skills – ability to prioritize, plan.
  • Computer skills, including word processing, basic keyboard skills required.
  • Ability to work independently and follow tasks through to completion without direct supervision.
  • What are the working conditions and physical requirements of this job?
  • General office demands

How much should I expect to travel?

  • 0%

Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

Will work for a client located in IL. Must work Central Time hours.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

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