Description

Primary Responsibilities
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)

Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller

Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and their staff

Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends

Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications

High school diploma, GED or equivalent work experience

Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner

Skilled in problem solving to quickly assess current state and formulate recommendations

Preferred Qualifications

1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

Prior health care experience

Education

ANY GRADUATE