What are the responsibilities and job description for the Temp to Perm - Non-Clinical - Customer Service Representative Days Indianapolis IN position at V R Della Infotech Inc?
Remote with onsite / virtual training. Work from home position after training completion
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. Meet the Department standard of calls answered and call documentation entered.
2. Assist 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. Participate in Departmental Projects as appropriate.
6. Coordinate 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 :
Health systemwide profile standards
ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : None
On Call Requirements : None
Key Skills
Typing,Data Entry,Customer Service,Basic Math,Computer Skills,Windows,Banking,Upselling,Pricing,Sanitation,Cash Handling,Stocking
Employment Type : Full Time
Vacancy : 1
