Job Details

Manage administrative intake of members. Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and / or providers. Process incoming and outgoing calls, and prior authorizations, including intake, notification and census roles. Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review. Handle resolution / inquiries from members and / or providers. Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma / GED OR equivalent years of experience Must be 18 years of age OR Older 2 years of experience in Customer Service Experience with Microsoft Word (ability to edit, create and save documents), Microsoft Excel (ability to edit, create and save spreadsheets) and Microsoft Outlo...Clinical, Administrative, Coordinator, Microsoft, Health, Healthcare