What are the responsibilities and job description for the Healthcare Operations Support Associate position at RPO Inc?
Title: Healthcare Operations Support Representative
Location: Remote-TX
Duration: 3* Months Contract* (Potential extension )
Target Start Date: ASAP
Shift: 8:00 AM - 5:00 PM CST - Monday - Friday
- No OT required regularly; mandatory OT may be required occasionally.
Position Purpose:
- Performs administrative care management support activities such as outreach, answering inbound calls, scheduling services, and working with members, providers, and staff to resolve issues following current state and regulatory guidelines
Day-to-day responsibilities of this role and a description of the project:
- Track Compliance (Use and read reports to track and monitor members requesting services.)
- Monitor the Postings email box daily for urgent state complaints inquiries.
- Uploading and downloading spreadsheets from the SFTP portal.
- Navigate through multiple systems. (adaptability)
- Perform daily quality checks.
- Case studies to escalate accordingly.
- Outreach to Internal and external stakeholders
- Data Entry
- Verify member eligibility.
- Review transfer packets; sending and receiving/attaching.
- Will go through Zoom/teams training (peer to peer)
Required Skills/Experience/Education:
- 2 years of RECENT Customer Service in a managed care setting experience and Typing Speed 45 WPM Required. Knowledge of utilization review or claims processing preferred.
- Knowledge of medical terminology, Read and Understand data and reporting, Attention to detail, Ability to communicate effectively, Self-Motivated, Adaptability, Critical Thinking, Time Management
- Strong Proficiency with Microsoft Office - Experience with Excel, Formulas, PowerPoint), Proficient Computer Skills, Multitasking using multiple systems, and operation of office equipment such as a personal computer.
- Proof of High School Diploma/GED or higher is REQUIRED. Must have an on-hand copy of HSD/GED/Transcript/Degree.
- Attendance/Reliability needed. Attendance is mandatory - no time off allowed during training.
Job Type: Contract
Pay: $18.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Typing Speed 45 WPM: 2 years (Required)
- Healthcare Customer Service: 2 years (Required)
Location:
- Corpus Christi, TX 78411 (Required)
Ability to Commute:
- Corpus Christi, TX 78411 (Required)
Work Location: Remote
Salary : $18
