Payment Specialist/CSR (Bilingual - Spanish)

Pool Administrators Inc.
Glastonbury, CT Full Time
POSTED ON 3/25/2024

Location: Glastonbury, Connecticut (In-Office)

Hours: 11:30am-8pm

Summary: Responsible for working in a fast paced environment and having strong interpersonal and communication skills, attention to details, outstanding ability to multi-task and prioritize and strong analytical skills. Performs administrative tasks related to client health premiums and out of pocket medical expenses, interact with clients to provide information in response to inquiries about products and services, and handle and resolve complaints by performing the following duties.

Duties and Responsibilities include the following.

  • Answers phones and respond to client inquiries related to payments made on their behalf to medical providers.*
  • Answers phones and responds to medical provider inquiries related to payments made or due to their office on their behalf of program clients.*
  • Makes outgoing calls to clients, medical providers and insurance companies or the like.*
  • Identifies, researches, resolves client issues.*
  • Promotes teamwork and service delivery success.*
  • Responsible for being mindful of contractual performance guarantees related to payment processing timeliness and accuracy are met.*
  • Responsible for being mindful of contractual performance guarantees related to various means of client communications are met such as phone, email, and mail.*
  • Processes health and dental insurance premium payments for clients.*
  • Processes medical payments for clients.*
  • Creates and updates financial batch records for processing by accounting.*
  • Audits payment files and outgoing payments and checks accuracy of figures calcuation.*
  • Updates appropriate call logs.*
  • Refers unresolved client grievances to designated departments for further investigation.*
  • Works with clients that have high medical utilization.*
  • Recognizes, documents, and alerts the customer service manager of call trends in client services.*
  • Performs other duties as assigned.

Education/Experience:

Associate's degree (A. A. / A. S.) or equivalent from two-year college or technical school; or two to four years related experience and/or training; or equivalent combination of education and experience.

Certificates and Licenses:

Medical billing strongly preferred but not required

Knowledge, Skills, and Other Abilities:

Bilingual in English and Spanish strongly preferred but not required

The above is intended to provide general guidance regarding the responsibilities of the position. It is not intended to be an all-encompassing definition of what the position entails and may be changed at the discretion of Senior Management at any time.

PAI is an equal employment and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by law.

Job Type: Full-time

Pay: From $21.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Application Question(s):

  • Can you work 11:30-8pm?

Language:

  • Spanish (Required)

Work Location: In person

Salary.com Estimation for Payment Specialist/CSR (Bilingual - Spanish) in Glastonbury, CT
$88,437 to $119,712
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