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Bilingual Dental Customer Service Representative

Winston-Salem, NC 27106

Posted: 07/29/2024 Employment Type: Permanent Job Number: ET741025729 Pay Rate: $37440-41600 / year

Job Description

Graham Personnel Services has an immediate opening for a Bilingual Dental Customer Service Representative for a local Health Benefits provider in the Triad. 
REMOTE opportunityMUST have Dental terminology MUST be Bilingual- fluent in Spanish and English, spoken and written word
The Dental CSR is responsible for handling incoming calls from members, providers, brokers and group administrators to verify eligibility, verify benefits, explain EOB's research claim payments and answer general questions in a call center environment. This is a work from home position that will require a dedicated work space with minimal distractions.
Essential Functions         
  • Confer with customers by telephone to provide information about dental services, eligibility and plan benefits
  • Ensure department metrics are met by call volume and minimum talk time. Call monitoring must verify the minimum number of errors and customer complaints.
  • Remain calm when speaking with irate customers
  • Keep records of customer interactions and transactions, recording details of inquiries, complains, and comments, as well as actions taken
  • Check to ensure that appropriate changes were made to resolve customers’ problems
  • Refer unresolved customer grievances to designated departments for further investigation
  • Documents all calls in a clear and concise manner
  • Obtain and examine all relevant information to assess validity of complaints and to determine possible causes, such as eligibility, and handle claims questions regarding payments or denials
  • Review dental insurance policy terms in order to determine whether a particular service is covered by insurance  

Knowledge, Skills and Abilities 
  • Excellent verbal and written communication skills required.
  • Ability to utilize the available time to organize and complete work within given deadlines.
  • Ability to work independently with minimal supervision.
  • Ability to communicate clearly and concisely in spoken and written word
  • Ability to take care of the customers’ needs while following company procedures.
  • Ability to pay attention to the minute details of a project or task.
  • Ability to get along well with a variety of personalities and individuals.
  • Ability to remain calm under pressure

Minimum Qualifications
  • High School Graduate or General Education Degree (GED)
  • At least 2 years of related customer service experience
  • Bilingual – fluent in both Spanish and English, spoken and written word
  • Dental terminology experience, preferred

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