Call Center Customer service - H

Location: Indianapolis
Posted on: October 19, 2024

Job Description:

6+month contract position. Call Center customer service

MUST BE AVAILABLE FOR A 4 WEEK TRAINING FROM 8-5 THEN

MUST BE ABLE TO WORK 11AM-8PM SHIFT M-F

Must have prior call center experience and Medical Background

SUMMARY: Responsible for coordinating cases for precertification and prior authorization review. MAJOR JOB DUTIES AND RESPONSIBILITIES: Primary duties may includes, but are not limited: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions to provider. Checks benefits for facility based treatment. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. EDUCATION/EXPERIENCE: Requires High school diploma; 1 year of customer service or call-center experience; proficient analytical, written and oral communication skills; or any combination of education and experience, which would provide an equivalent background. Medical terminology training and experience in medical or insurance field preferred. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Keywords: , Hamilton , Call Center Customer service - H, IT / Software / Systems , Indianapolis, Ohio