TekSystem Group Hiring for Healthcare Customer Service Representative at Remote Full Time

Title: WCM/CCM EC/Precert Specialist

Work Location: Detroit, MI 48243

Duration: 12 Months

Job Type: Contract

Work Type: Remote

Dept: Commercial Inpatient Pr

Job Description

Engagement Description

Required Skills and Experience:

• Medical Terminology or medical background such as nursing assistant/tech or doctor office experience
• Customer Service experience
• Exceptional phone skills
• Administrative/PC skills

Highly preferred:

• Provide high quality, member focused servicing using knowledge of plans, products, systems, and procedures to meet or exceed member experience
• Assist in locating primary care physicians,specialists and dentists
• Thoroughly explain wellness care management program benefits to members
• Work as a team member to assist nurses in researching providers, eldercare, nursing homes
• Concisely and accurately enter documentation into Care Advance
• Effectively engage over the phone via both inbound and outbound members that qualify for our clinical programs or those who are interested in learning more about our services
• Refer and/or warm transfer to wellness and care management components and other Client areas and vendors as needed
• Process provider requests as needed
• Act as member¿s first trusted source for WCM programs
• Schedule appointments between the member and coach in appropriate systems
• Assign referrals to designated staff
• Process requests for compliance inquiries
• Access various WCM department mailboxes and voicemail as neede
• Ability to function independently
• Critical Thinking
• Quick learner
• Bi-Lingual/Spanish

Job Type: Full-time

Salary: $15.00 – $17.00 per hour

Schedule:

• 8 hour shift

Application Question(s):

• Are you familiar with healthcare terminology?
• Do you have Healthcare Customer service experience?
• Have you worked in Hospitals or Clinical environment ?
• Do you have experience in making inbound and outbound calls?

Work Location: Remote