Remote with onsite/virtual training. Work from home position after training completion
Position Summary:
This position will be responsible for daily member telephone calls which will include directing members to the proper services needed, educating members, problem solving, and creating linkages to the Medical Management Department for authorization of services. Also may be responsible for assisting providers with eligibility, benefit, and resolution of claims issues.
Essential Functions and Responsibilities:
1. Meet the Department standard of calls answered, and call documentation entered.
2. Assist Members and Providers with questions and concerns.
3. Ongoing member education.
4. Responsible for all benefits information given to Members and Providers.
5. Participate in Departmental Projects, as appropriate.
6. Coordinate quality improvement initiatives with Medical Management, Provider Relations, and Quality Depts., i.e., Preventative Health Screenings.
7. Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.
Health system-wide profile standards
...you passionate about your clients and delivering outstanding customer service Adventures Await is on the lookout for a Remote Travel Consultant to enhance our dedicated team. We pride ourselves on creating a professional supportive and collaborative environment where you...
Description: We are seeking an efficient and flexible Restaurant Manager who will handle our high-volume, quick service restaurants.. This position will help oversee the hourly team and ensure each shift is run effectively with optimal operational excellence and genuine...
Description: Love connecting with People? We are looking for Shift Leaders that can bring their infectious energy, organizational skills and great relationship management skills to turn guests into regulars. Expectations about the Shift Lead Role : The ideal ...
Start a new career as an Overnight Resident Assistant at Vista Prairie at Brentwood, Assisted Living and Memory Care! Join Vista Prairie Communities and elevate your career while making a meaningful impact. Enjoy our supportive culture, outstanding benefits, and the...
...Calling All Patient Care Coordinators: Join the Smile Squad at Positive Impact Dental! Imagine a workplace where every day feels like a celebration, and positivity is part of the job description! Positive Impact Dental is on the lookout for a superstar Patient Care...