Intake Care Senior Representative Medical Management

Immediate need for a talented Intake Care Senior Representative- Medical Management. This is a 04+ Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-63392

Pay Range: $20 - $21/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Answer calls from customers including providers
• The majority of the day will be answering inbound calls from customers looking to access, understand, or utilize services.
• Register participants in the intake system and opens case files
• Educate participants on their benefits based upon individual plan design and other clinical or non-clinical resources available
• Conduct an intake as needed to assess for presenting concern and risk of harm or substance abuse concerns
• Provide participants with names and phone numbers of nearest providers
• Multi-task by maneuvering through various computer programs and screens
• Write authorizations to ensure claims are paid correctly
• Provide follow-up calls to participants to ensure correct information is given
• Send eligibility requests to determine effective coverage dates or to verify correct benefits are loaded
• Send complaints to initiate grievance process for customers
• Providing high quality customer service as identified by Advocacy department quality standards
• Using independent problem-solving skills to make sound decisions in assessing the needs of the callers by giving accurate information and providing first call resolution
• Understanding the business needs of the role, while balancing the needs of the customer
• Taking an educational approach to ensure callers are able to understand the complexities of accessing care
• Demonstrating a complete awareness and understanding of the responsibilities and workflows of the various departments within Client.

Key Requirements and Technology Experience:

• Skills-Call Center/customer service experience, Healthcare Experience, Inbound/Outbound call handlings in fast-paced environment
• Job Stability
• Previous customer service experience or related position
• Superb interpersonal communication
• Effective listening and organizational skills
• Ability to manage multiple tasks, setting priorities where needed
• Independently problem solve, with ability to function without constant supervision
• A demonstrated ability to type effectively; with strong PC skills/word processing experience and ability to learn new computer software systems
• Ability to learn new workflows and tasks quickly
• Ability to work independently and be a team player
• Previous call center environment experience preferred
• Computer multi-tasking - working in numerous screens while staying engaged with customer. 
• Bachelor's degree in mental health field or psychology/social work-related field required.
• Note-As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience. Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me.
  https://hire.glider.ai/connect/85157957

Our client is a leading Health Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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