RCM Customer Service Representative

Hace 2 días

Tijuana, Baja California, México Enovis Jornada completa

Who We Are

ABOUT ENOVIS™

Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company’s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond.For more information about Enovis, please visit [www.enovis.com](https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.com%2Fv3%2F https%3A%2Fnam02.safelinks.protection.outlook.com%2F%3Furl%3Dhttps 2Furldefense.com 2Fv3*2F https 3A2Fnam02.safelinks.protection.outlook.com 3Furl3Dhttps 3A 2F 2F urldefense.com 2F v3 https 3A2Fnam02.safelinks.protection.outlook.com 2F 3Furl3Dhttps 3A2F 2Furldefense.com 2F v3 https 3A2Fnam02.safelinks.protection.outlook.com 2F 3Furl3Dhttp 3A2F 2F www.enovis.com 2F 26data3D04 7C01 7Cderek.leckow 40colfaxcorp.com 7C8e620863b690494cef5d08d9e811a929 7Cba47116b6e714c2789e43b4ad1994f4a 7C0 7C0 7C637795984842118773 7CUnknown 7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0 3D 7C3000 26sdata3Du7X 2FweoH7 2Fxo2XzJvkRH3cdfDDt4WK0Nd038a4oQ7f8 3D 26reserved3D0 3BJSUlJSUlJSUlJSUlJSUlJSUlJQG5_cG5x_tzlVagx8i1gRmgk-4GeyASy4J_F1R2IDH71HApoaScOgUP9txC5bhJsSvKPMwUEDrBdRnaxvsz24 26data3D04 7C01 7Cchristopher.hix 40colfaxcorp.com 7C82cafa54e4244378c6cd08d9ea3e8f29 7Cba47116b6e714c2789e43b4ad1994f4a 7C0 7C0 7C637798376699350576 7CUnknown 7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0 3D 3000 26sdata3DOqoyt3y7XkHGFH4Jvf2VAjfiSNoFLGAtAxRenKd2uMk 3D 26reserved3D0 3BJSUlJSUlJSUlJSoqKiolJSoqKioqKioqKioqKiUlKioqJSUlJSUlJSUlJSUlJSUlJSUG5_cG5x_tzlVag3LDNHvOkho7ueuGRm-tPeKwYqpuUJY_N6TG9HEEADpHBEvJRWdLhT6gzs1xc3OaBX1fP24 26data3D04 7C01 7Cchristopher.hix 40colfaxcorp.com 7C8cac972a088340b1705308d9ea41ca67 7Cba47116b6e714c2789e43b4ad1994f4a 7C0 7C0 7C637798390558508665 7CUnknown 7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0 3D 3000 26sdata3Dr0a2GwMaBDzqhVdQ9g 2Bn1g77OF8gQIXqp4eVfwm1vP0 3D 26reserved3D0__ 3BJSUlJSUlJSUlJSoqKioqKioqKioqKioqKioqKioqKioqKioqKioqKioqKioqKiolJSoqKioqKioqKioqKiUlKiUlJSUlJSUlJSUlJSUlJSUlJQG5_cG5x_tzlVag3_r_bkeJ11BksKBNxz9LUdBMBPJLCCTXC8PATWA81m4gkpbSTrhKRLCIoG_xXsM0wgpw24%26data%3D04 7C01 7Cpatty.lang 40colfaxcorp.com 7C6c9786c0ec6b457a23a708d9ea485ae5 7Cba47116b6e714c2789e43b4ad1994f4a 7C0 7C0 7C637798418788815651 7CUnknown 7).

What You’ll Do

The Patient Services Representative III serves as a senior member of the Patient Services team, providing advanced case management and customer support to patients, healthcare providers, and insurance carriers. This role acts as a subject matter expert for complex patient cases, escalated customer service concerns, insurance benefit interpretation, product quality troubleshooting and reimbursement support. The representative independently manages challenging situations, mentors team members, identifies process improvements, and serves as a key resource across multiple departments.

This position requires exceptional communication skills, strong leadership capabilities, bilingual fluency in English and Spanish, required to work East Coast business hours from Monday through Friday, 5:00 AM PST to 2:00 PM PST.

Patient Support & Case Management

  • Manage complex patient cases from initiation through resolution while ensuring a high standard of patient care and service.
  • Serve as the primary point of contact for escalated patient, provider, and payer inquiries.
  • Communicate detailed and technically complex benefit, insurance, reimbursement, and therapy-related information to patients and healthcare providers.
  • Interpret and explain medical, insurance, and reimbursement information in a clear and understandable manner.
  • Support Regen quality patient calls and troubleshooting.

Escalation Management

  • Resolve advanced customer service issues and complex reimbursement challenges with minimal supervision.
  • Investigate and address patient complaints, service concerns, and operational issues while ensuring timely resolution.
  • Act as a resource for handling sensitive, high-priority, or critical patient situations.
  • Exercise sound judgment when deviating from established procedures to achieve optimal patient outcomes.

Leadership & Team Support

  • Serve as a mentor and resource for Patient Services Representatives I and II.
  • Assist with onboarding, training, and knowledge-sharing initiatives.
  • Provide guidance on complex cases, insurance benefit interpretation, and escalation management.
  • Lead by example by demonstrating accountability, professionalism, and