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
Job benefit: - Help to get Z visa- Offer free apartment or 800rmb per month for accommodation- 7.5h work time everyday- Birthday party and lots of staff activities...etc
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