Rcm Customer Service Representative (Tijuana)

Rcm Customer Service Representative (Tijuana)

09 sep
|
Enovis
|
Tijuana

09 sep

Enovis

Tijuana

Who We Are ABOUT ENOVISTM
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, general 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 ()( A%2 F%2 %2 Fv3%2 F A%2 Fnam02.safelinks.protection.%2 F%3 Furl%3 Dhttps 2 2 Fv3*2 F https 3 A2 Fnam02.safelinks.protection. 3 Furl3 Dhttps 3 A 2 F 2 F 2 F v3 https 3 A2 Fnam02.safelinks.protection. 2 F 3 Furl3 Dhttps 3 A2 F 2 2 F v3 https 3 A2 Fnam02.safelinks.protection. 2 F 3 Furl3 D A2 F 2 F 2 F 26data3 D04 7 C01 7 Cderek.leckow 7 C8e******b******cef5d08d9e811a***** Cba*****b6e714c****e43b4ad****f4a 7 C0 7 C0 7 C 7 CUnknown 7 CTWFpb GZsb3d8ey JWIjoi MC4w Lj Aw MDAi LCJQIjoi V2lu Mz Ii LCJBTi I6 Ik1ha Wwi LCJXVCI6 Mn0 3 D 7 C*******sdata3 Du7 X 2 Fweo H7 2 Fxo2 Xz Jvk RH3cdf DDt4 WK0 Nd038a4o Q7f8 3 D 26reserved3 D0 3 BJSUl JSUl JSUl JSUl JSUl JSUl JQ!!G5_c G5x_tzl Vag!x8i1g Rmgk-4 Gey ASy4 J_F1 R2 IDH71 HApoa Sc Og UP9tx C5bh Js Sv KPMw UEDr Bd Rnaxvsz *****data3 D04 7 C01 7 Cchristopher.hix 7 C82cafa54e*******c6cd08d9ea3e8f29 7 Cba*****b6e714c****e43b4ad****f4a 7 C0 7 C0 7 C 7 CUnknown 7 CTWFpb GZsb3d8ey JWIjoi MC4w Lj Aw MDAi LCJQIjoi V2lu Mz Ii LCJBTi I6 Ik1ha Wwi LCJXVCI6 Mn0 3 D *******sdata3 DOqoyt3y7 Xk HGFH4 Jvf2 VAjfi SNo FLGAt Ax Ren Kd2u Mk 3 D 26reserved3 D0 3 BJSUl JSUl JSUl JSoq Kiol JSoq Kioq Kioq Kioq Ki Ul Kioq JSUl JSUl JSUl JSUl JSUl JSU!!G5_c G5x_tzl Vag!3 LDNHv Okho7ueu GRm-t Pe Kw Yqpu UJY_N6 TG9 HEEADp HBEv JRWd Lh T6gzs1xc3 Oa BX1f P *****data3 D04 7 C01 7 Cchristopher.hix 7 C8cac972a******b*******d9ea41ca67 7 Cba*****b6e714c****e43b4ad****f4a 7 C0 7 C0 7 C 7 CUnknown 7 CTWFpb GZsb3d8ey JWIjoi MC4w Lj Aw MDAi LCJQIjoi V2lu Mz Ii LCJBTi I6 Ik1ha Wwi LCJXVCI6 Mn0 3 D *******sdata3 Dr0a2 Gw Ma BDzqh Vd Q9g 2 Bn1g77 OF8g QIXqp4e Vfwm1v P0 3 D 26reserved3 D0__ 3 BJSUl JSUl JSUl JSoq Kioq Kioq Kioq Kioq Kioq Kioq Kioq Kioq Kioq Kioq Kioq Kiol JSoq Kioq Kioq Kioq Ki Ul Ki Ul JSUl JSUl JSUl JSUl JSUl JQ!!G5_c G5x_tzl Vag!3_r_bke J11 Bks KBNxz9 LUd BMBPJLCCTXC8 PATWA81m4gkpb STrh KRLCIo G_x Xs M0wgpw24%26data%3 D04 7 C01 7 Cpatty.lang 7 C6c****c0ec6b457a23a708d9ea485ae5 7 Cba*****b6e714c****e43b4ad****f4a 7 C0 7 C0 7 C 7 CUnknown 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 exceptional customer service.
Support supervisors and management with departmental projects, reporting, and process improvement initiatives.
Cross-Functional Collaboration Partner with Sales, Information Technology, Service, Manufacturing, and other departments to ensure seamless patient support.
Communicate trends,



recurring issues, and opportunities for process improvement to leadership.
Participate in testing, workflow enhancement, and operational improvement projects.
Support implementation of new programs, services, and departmental initiatives.
Operational Excellence Maintain detailed and accurate documentation in required systems.
Monitor case progress and proactively follow up to ensure timely completion.
Identify workflow inefficiencies and recommend improvements to enhance the patient experience.
Consistently meet or exceed quality, productivity, service level, and compliance expectations.
REQUIREMENTS: EXPERIENCE, EDUCATION, SKILLS, AND KNOWLEDGE High school diploma or equivalent required; associate's or bachelor's degree preferred.
Minimum of 3-5 years of customer service, patient services, reimbursement, healthcare support, or related experience.
Minimum of 2-3 years of bilingual voice experience (English and Spanish) in a healthcare, patient support, call center, or customer service environment.
Demonstrated experience managing escalated customer service situations and complex patient cases.
Proven ability to work independently with limited supervision.
Strong leadership, coaching, and mentoring skills.
Ability to effectively communicate with patients, physicians, insurance carriers, and internal stakeholders.
Advanced verbal and written communication skills in both English and Spanish.
Strong organizational, analytical, and problem-solving abilities.
Proficiency with customer relationship management systems, patient management tools, and Microsoft Office applications.
Fluent bilingual proficiency in English and Spanish.
Skilled leader and self-starter with the ability to prioritize and manage competing responsibilities.
Advanced understanding of healthcare reimbursement and insurance benefit structures.
Ability to independently assess situations and make informed decisions.
Strong conflict resolution and de-escalation skills.
Excellent attention to detail and commitment to patient satisfaction.
EQUAL EMPLOYMENT OPPORTUNITY Enovis provides equal employment opportunities based on merit, experience, and other work‐related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law.
We also strive to provide reasonable accommodation to employees' beliefs and practices that do not conflict with Enovis policies and applicable law.
We value the unique contributions that every employee brings to their role with Enovis.
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📌 Rcm Customer Service Representative (Tijuana)
🏢 Enovis
📍 Tijuana

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