Job Description

Job Description

  • Handle inbound/outbound provider calls for voice support
  • Address all queries from Providers (Eligibility and Benefits, claim status, Authorization, other inquiring pertaining to the account of the Member) supported by the business.
  • Understand the Account's Business Strategy and managed care direction.
  • Utilize and be familiar with current system functions, applications and enhancements.
  • Additional responsibilities include development and training of self and co-workers.
  • Suggest and shares ideas for system improvements.
  • Experiments with and accepts new ideas in a positive and timely manner
  • The Healthcare Associate must achieve and maintain the Account's Key Performance Measures.
  • Provide exceptional customer service to callers over the phone.
  • Maintain a high level of professionalism towards peers at all times.
  • Abide by and be familiar with all the polic...

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