Managed Staffing, Inc Hiring for Customer Service Representative (Healthcare) at United States Full Time

Location: 100% Remote

Education

Job Qualifications:

• Associates Degree in education, communication, or a health-related field; or equivalent work experience.

Experience

• 2 years of experience in a customer service support role is required.

Skills/Certifications

• Ability to work independently with minimal supervision or function in a team environment, sharing responsibility, roles, and accountability.
• Proficient interpersonal and organizational skills.
• Independent, sound decision-making and problem-solving skills.
• Must be able to work in an independent and creative manner.
• Self-motivated and able to manage multiple tasks and set priorities.
• Effective time management skills.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• Knowledge in Medical terminology.

Responsibilities

Job Profile Summary: Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.

Job Responsibilities

• Conducting educational telephone calls advising members of available benefits, services, and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
• Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
• Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries, and authorization history; assigning members to the clinical team for call outreach and intervention.
• Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program-related inquiries.
• Willingness to work overtime as needed.