Temp to Perm Non-Clinical Customer Service Representative (Days) Indianapolis IN

Indianapolis, IN - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

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.

*** This is a 52% markup need. Contractors need to make a facility mandated $18.00 per hour ***
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 and English 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
We prefer candidates reside in Indianapolis IN residency within the state of Indiana is the only requirement.

MDWise Submission requirements:

Work History
Please do not include copies of the drivers license or any form of identification

ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : None
On Call Requirements : None

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 f...