Temp to Perm - Non-Clinical - Customer Service Representative (Days) Indianapolis IN
Temp to Perm - Non-Clinical - Customer Service Representative (Days) Indianapolis IN
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
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. Meets the Department standard of calls answered and call documentation entered.
2. Assists Members and Providers with questions and concerns.
Finding Provider(s)/Services for members
Arrange Transportation for members
Answer billing/claims status questions; resolve claim issues for members
Assist with pharmacy issues
Help Members access community support services
Verify member eligibility
Quote benefits
Assist with Referrals
Assist with member health assessments
Assist members with closing gaps in care
3. Ongoing member education.
4. Responsible for all benefits information given to Members and Providers.
5. Participates in Departmental Projects as appropriate.
6. Coordinates 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.
Requirement description :- 1 Year One in a customer service related role with direct contact with customers via telephone email chat and/or face-to-face - Required
- Must be Burmese Speaking - Required
- High School Diploma - Required - proof not needed in submission
- Please confirm your traveler is aware they are being submitted for this role - Required
- Candidates must reside in Indianapolis IN - Required
ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : None
On Call Requirements : None
Employment Type
Full Time
