Provides superior customer service by responding to inquiries related to pre-authorizations from members, providers, facilities, vendors, and internal departments
Job Summary
Provides superior customer service by responding to inquiries related to pre-authorizations from members, providers, facilities, vendors, and internal departments.
Uses data and established processes to identify members who may benefit from Care Management services and takes appropriate action to initiate referrals.
Serves as a trainer and mentor to new team members, supporting onboarding and providing ongoing guidance.
Matching Summary
Provides superior customer service by responding to inquiries related to pre-authorizations from members, providers, facilities, vendors, and internal departments.
Salary
$19.31 - $26.22
Skills & Requirements
Must-have
Customer service experience in healthcare
Medical terminology knowledge
Telephone communications
Data entry and typing skills
Problem solving abilities
Nice-to-have
Bilingual in Spanish and English
Attention to detail
Ability to work independently and as part of a team
Key Requirements
Demonstrated customer service experience in healthcare setting
Knowledge of medical terminology or medical background
One (1) year of work experience with Medicare, Medicaid, and commercial insurance plans