Exception Specialist II

Charleston, SC - USA

Hourly Salary: $ 14 - 19

Posted on: 16 hours ago

Vacancies: 1 Vacancy

Job Summary

Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!

Modivcare is looking for an Exception Specialist II to join our team! This position is responsible for the accurate fulfillment and approval procedures related to transportation service requests/reservations before and/or after the transport has taken place through the use of internal and external resources as well as outreaching to members facilities clients and other parties.

This role...

Ensures accurate trip data input and resolution as it relates to the service guidelines.
Identifies and advises management team on issues relating to customer service and the exceptions process.
Investigates and provides comprehensive solutions on benefit utilization issues verification waivers urgent trip requests pre-authorization process denials eligibility mileage validation meals & lodging and level of service.
Manages and suggests improvements in the denial and appeal process.
Assists other specialists in faxes mail email and web requests (inbound and outbound).
Suggests improvement of quality and efficiency with the departments phone activity (inbound and outbound).
Investigates complex issues to confirm the utilization.
Identifies and monitors utilization and billing trends that may signal abusive practices.
Reports and may provide support to management on the need to address abusive or fraudulent situations.
Reports member dissatisfaction to appropriate team members and/or management.
Provides outreach regarding members transportation education and other subjects as needed to medical facilities.
Support specialists by providing guidance and knowledge sharing to improve skills and department efficiencies.
Participates in other projects or duties as assigned.

We are interested in speaking to individuals with the following...

High School Diploma required.
One (1) plus years of experience.
Or equivalent combination of education and/or experience.
Excellent customer service and people skills.
Works independently or with a team.
Quickly learns new technology and processes.
Understands and follows complex instructions; handle complex issues.
Proficient in writing reading and fluency in speaking English.
Accurate and attention to detail.
Ability to handle multiple tasks without compromising the quality of service.

Pay Range: $14.23 - $19.21/Hourly

Modivcares positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role the number of roles and the number of applications received. We encourage our prospective candidatesto submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities andencourage prospective candidates to check back often for new postings.

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

Medical Dental and Vision insurance
Employer Paid Basic Life Insurance and AD&D
Voluntary Life Insurance (Employee/Spouse/Child)
Health Care and Dependent Care Flexible Spending Accounts
Pre-Tax and Post --Tax Commuter and Parking Benefits
401(k) Retirement Savings Plan with Company Match
Paid Time Off
Paid Parental Leave
Short-Term and Long-Term Disability
Tuition Reimbursement
Employee Discounts (retail hotel food restaurants car rental and much more!)

Modivcare is an Equal Opportunity Employer.

EEO is The Law - click here for more information
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
We consider all applicants for employment without regard to race color religion sex sexual orientation national origin age handicap or disability or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance please reach out to us at

Required Experience:

Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!Modivcare is looking for an Exception Specialist II to join our team! This position is responsible for the accurate fulfillment and ap...

Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!

This role...

Ensures accurate trip data input and resolution as it relates to the service guidelines.
Identifies and advises management team on issues relating to customer service and the exceptions process.
Investigates and provides comprehensive solutions on benefit utilization issues verification waivers urgent trip requests pre-authorization process denials eligibility mileage validation meals & lodging and level of service.
Manages and suggests improvements in the denial and appeal process.
Assists other specialists in faxes mail email and web requests (inbound and outbound).
Suggests improvement of quality and efficiency with the departments phone activity (inbound and outbound).
Investigates complex issues to confirm the utilization.
Identifies and monitors utilization and billing trends that may signal abusive practices.
Reports and may provide support to management on the need to address abusive or fraudulent situations.
Reports member dissatisfaction to appropriate team members and/or management.
Provides outreach regarding members transportation education and other subjects as needed to medical facilities.
Support specialists by providing guidance and knowledge sharing to improve skills and department efficiencies.
Participates in other projects or duties as assigned.

We are interested in speaking to individuals with the following...

High School Diploma required.
One (1) plus years of experience.
Or equivalent combination of education and/or experience.
Excellent customer service and people skills.
Works independently or with a team.
Quickly learns new technology and processes.
Understands and follows complex instructions; handle complex issues.
Proficient in writing reading and fluency in speaking English.
Accurate and attention to detail.
Ability to handle multiple tasks without compromising the quality of service.

Pay Range: $14.23 - $19.21/Hourly

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

Medical Dental and Vision insurance
Employer Paid Basic Life Insurance and AD&D
Voluntary Life Insurance (Employee/Spouse/Child)
Health Care and Dependent Care Flexible Spending Accounts
Pre-Tax and Post --Tax Commuter and Parking Benefits
401(k) Retirement Savings Plan with Company Match
Paid Time Off
Paid Parental Leave
Short-Term and Long-Term Disability
Tuition Reimbursement
Employee Discounts (retail hotel food restaurants car rental and much more!)

Modivcare is an Equal Opportunity Employer.

EEO is The Law - click here for more information
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
We consider all applicants for employment without regard to race color religion sex sexual orientation national origin age handicap or disability or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance please reach out to us at

Required Experience:

Key Skills

Sales Experience
Crane
Customer Service
Communication skills
Heavy Equipment Operation
Microsoft Word
Case Management
OSHA
Team Management
Catheterization
Microsoft Outlook Calendar
EHS

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About Company

Modivcare

We bring quality patient transportation, meal delivery, remote patient monitoring, and personal in-home care to homes all across America at Modivcare.

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