Customer Care Specialist, Bilingual

Insulet started in 2000 with an idea and a mission to enable our customers to enjoy simplicity, freedom and healthier lives through the use of our Omnipod® product platform. In the last two decades we have improved the lives of hundreds of thousands of patients by using innovative technology that is wearable, waterproof, and lifestyle accommodating.
- We are looking for highly motivated, performance driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it Position Overview:
This position is responsible for providing excellent customer service, responding to customer inquiries, providing customers with coverage options, reimbursement processing, order placement, shipping status, warranty and general concerns. Assists with benefits investigation and answers a variety of reimbursement related questions. Strong communication between customers, physicians, healthcare and insurance providers are critical functions of this position, with proficient communication skills in both English and Spanish.

The Customer Care Specialist is able to independently follow standardized workflows as defined by the organization. Contact center/customer service experience is required, durable medical equipment as well as pharmacy coverage familiarity, reimbursement/insurance and healthcare experience is preferred. The Customer Care Specialist is not only responsible for ensuring a positive customer interaction, but will also ensure that benefits/coverage, prior authorization and documentation is correctly obtained which will allow Insulet to successfully collect revenue.

Responsibilities:

- Process all aspects of the order process by verifying insurance benefits/coverage to determine eligibility and calculate cost share amounts for existing and new customers.
- Requesting and collecting updated documentation, prior authorizations, order entry and coordinating shipment of product to customers.
- Must maintain a thorough understanding of products offered by Insulet with the ability to explain to potential or existing customers the basic operation and use.
- Understand Insulet channeling and processing requirements for all covered products, which is based on medical policy and payer guidelines.
- Answering phone inquiries and providing support and direction to customers and resolving customer service issues in a timely and empathetic manner, both for our English speaking customers as well as our Spanish speaking customers.
- Work as part of the larger support team, collaborating with other departments to ensure proactive, superior front-line customer support.
- Document all interactions and calls into the customer database and maintain compliance to HIPAA and other regulating bodies as required.
- Responsible for maintaining satisfactory call and order counts as defined by management.
- Provide frequent feedback and suggestions to support an environment of continuous process improvement.
- Calculate and document cost share amounts for potential customers.
- Collaborate with other commercial teams such as Case Management, OmniPod Sales and Billing, to ensure proactive communication of potential customer’s order status.
- Assisting customers with the OminiPod orders via pharmacy and or with Insulet directly.
- Effectively communicate to customers what is needed to fill a pharmacy order by managing retail, PBM (Pharmacy Benefit Manager).
- Obtaining and or verifying RX validity.
- Perform other duties as assigned.
- Must pass Customer Care Certification Assessments and checkpoints throughout training, as well as any ongoing training.

Required Qualifications - Education and Experience
- Highschool diploma (Bachillerato/Bachiller) or equivalent certification
- Minimum 1-3 years of call center experience.
- Call center/customer service experience required.
- This position has an inbound call queue/call handling requirement.
- Bilingual skills, being proficient in both English and Spanish is required.

Preferred Qualifications
- The following areas of call center experience are preferred - reimbursement, healthcare related customer service experience and pharmacy technician license/experience.
- Knowledge of managed care industry is preferred.
- Knowledge of diabetes and experience supporting customers with diabetes is preferred.
- Experience with Salesforce CRM (preferred).

Skills/Competencies:

- Oral Communication - The ability to express oneself clearly in conversations and interactions with others in both English and Spanish.
- Written Communication - The ability to express oneself clearly in business writing, in both English and Spanish.
- Fostering Teamwork - The ability and desire to work cooperatively with others on a team.
- Thoroughness - Ensuring that one's own and others' work and information are complete and accurate; following up with others to ensure that agreements and commitments have been