About the position
Responsibilities
• Manage administrative intake of members
• Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
• Process incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles
• Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
• Handle resolution/inquiries from members and/or providers
Requirements
• High school diploma / GED OR equivalent work experience
• Must be 18 years or older
• 2+ years of customer service experience
• Experience with Microsoft Word, Microsoft Excel, and Microsoft Outlook
• Ability to work any of our 8-hour shift schedules during our normal business hours of 8:30am - 5:00pm, with occasional overtime as needed
Nice-to-haves
• Experience working within the health care industry and with health care insurance
• Experience working in a hospital, physician's office, or medical clinic setting
• A clerical or administrative support background
• Knowledge of ICD-9 and CPT codes
• Experience working in a call center
Benefits
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
Apply Now
Apply Now