Provides courteous and prompt service to all internal and external customers. Research provider questions regarding status of reviews/authorizations Prioritizes and addresses requests in a professional manner to develop cooperative relationships and to ensure that customer confidentiality is assured. Understands when to escalate a call to a supervisor. Enters all call data for tracking. Initiates outbound calls as necessary to facilities and providers. In the rare instances, a callback will be made to member/beneficiaries. Provides customer service telephone line coverage within contract parameters of wait time and abandonment rates. Identifies opportunities and recommends methods to improve service and work processes. Performs other services as required.
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed