French Speaker Health Insurance Customer Service Coordinator

About us:

PayerFusion is a leading healthcare payment solutions provider dedicated to streamlining the insurance claims process and enhancing patient experiences. Our mission is to bridge the gap between healthcare providers and insurance payers, creating a seamless, technology-driven environment that prioritizes efficiency and clarity in health insurance communication. We are committed to innovation, collaboration, and delivering exceptional service to our clients and partners.

The Opportunity:

We are seeking a French speaker Health Insurance Customer Service Coordinator to join our dynamic team at PayerFusion. In this role, you will be the primary point of contact for our clients, ensuring they receive timely and accurate information regarding their health insurance inquiries. You will utilize your knowledge of health insurance policies and customer service best practices to address client needs, resolve issues, and improve overall satisfaction with our services.

Job Responsibilities:

• Communicate with health providers and insurance companies to develop rapport, confirm eligibility, and payment.
• Thoroughly research and appropriately respond in a timely manner to all verbal and written requests for assistance from Clients, providers of service and any other request as needed.
• Provide excellent service to insured members
• Interpret and apply insurance policy benefits to international customers.
• Determine level of service needed and eligibility of customer.
• Document all relevant information effectively and accurately in case management system.
• Perform other similar and related duties as required.
• Must speak French

Required Qualifications:

• 3+ years of experience in a health insurance customer service role.
• Strong understanding of health insurance products, terms, and the claims process.
• Excellent communication and interpersonal skills, with a commitment to providing outstanding customer service.
• Proficient in using Microsoft Excel, Outlook, Word.
• Ability to work efficiently in a fast-paced environment and manage multiple priorities.
• Must be quality driven and a self-starter that is responsible and with excellent follow up skills.
• Excellent communications skills via email and telephone (must be proficient in good telephone use and etiquette skills) to communicate with clients and interact with medical providers and our in-house case management department.
• Must be proficient in all functions of computer office use including Microsoft Outlook, Excel, and Word.
• Fast-paced environment and must feel free to communicate with hospitals, physicians and other providers
• Must have previous medical field expertise in working in a health insurance company or HMO plan with authorizations, patient referrals and or customer service.
• Knowledge of Medical Specialties preferred
• Associate's degree (A. A.) or equivalent from two-year College or technical school; and related experience and/or training; or equivalent combination of education and experience.

Nice-to-Haves:

• Knowledge of healthcare regulations and compliance standards.
• Customer service certification or training.
• Previous experience in a coordinator within the health insurance industry.