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Member Service Specialist



Posting ID: JP-002179434

Full Time
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This position will start 100% remote with the potential for it to move to hybrid in September. Will start as a 6 month contract with the opportunity for contract to hire.

Daily Duties:

This position will be a call center type role supporting the healthcare innovation division.

Will take phone calls from providers (doctor's offices) and will be using guidelines to inform providers on if the services being provided to patients are covered by insurance or not.

Currently not peak season - will be taking up to 30 calls per day.

Must have strong computer skills; will be documenting call notes and working directly with the internal nurse team on follow up items.

Will need to think critically and make decisions based off of guidelines given. Very process oriented role.

Facilitate care management functions by processing telephonic, electronic and fax notifications from members and providers, including verification of member eligibility and benefits, and documentation of prior approval, precertification, and notification requests.

Looking for someone with experience working within a production environment with production & quality metrics.

Demonstrated ability to apply critical thinking to resolve issues and conflicts while maintaining composure and confidence.

Ability to prioritize work and meet deadlines.

Strong written and verbal communication skills with the ability to effectively communicate to varying audiences.

Proficiency with Microsoft Office applications.

Excellent attendance and punctuality.

Additional Skills & Qualifications:

Call center experience OR Health care experience - 1+ years

Strong computer skills - 1+ years

- ability to navigate multiple screens

Experience Level:

Entry Level

Contact Information

Recruiter: Cassie Chubb

Phone: +15156575421


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