Exception Specialist

Modivcare • Greenville, SC

7d • $14 - $19 • Onsite

About The Position

The Exception Specialist I position is responsible for the accurate fulfillment and approval procedures related to transportation service requests/reservations before and/or after the transport has taken place, through the use of internal and external resources as well as outreaching to members, facilities, clients and other parties.

Requirements

• Excellent customer service and people skills.
• Ability to work independently or with a team.
• Ability to quickly learn new technology and processes.
• Ability to understand and follow complex instructions.
• Ability to read, write, and understand English fluently.
• High School Diploma required.
• Zero (0) plus years of experience.
• Or equivalent combination of education and/or experience.

Responsibilities

• Assists in creating, modifying, and recertifying standing orders under supervision.
• Supports the management of standing orders and hospital discharge trip assignments.
• Assists in ensuring cost-saving measures are in place by providing data for review.
• Maintains and updates the facility rolodex with guidance.
• Assists in investigating and reporting customer service issues and exceptions.
• Provides initial assistance with benefit utilization issues, verifications, waivers, and pre-authorizations.
• Participates in the denial and appeal process under supervision.
• Assists in conducting cancelation audits to ensure reporting accuracy.
• Supports the management team in basic tasks related to provider liquidated damages and recoupment.
• Assists with handling and investigating straightforward issues related to utilization.
• Participates in reviewing utilization and billing trends and reporting findings to senior colleagues.
• Participates in other projects or duties as assigned.

Benefits

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED