Medical Customer Service

Global Channel ManagementChattanooga, TN
25d

About The Position

Medical Customer service needs 2 years experience in a customer service support Medical Customer service requires: Medicare knowledge / experience, Customer Service experience Medical office experience a plus Ø Must be able to work in an independent and creative manner. Ø Self-motivated and able to manage multiple tasks and set priorities. Ø Effective time management skills Ø Excellent oral and written communication skills Ø Strong interpersonal and organizational skills Knowledge in Medical terminology Medical Customer service duties: Ø Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education. Ø Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate. Ø Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention

Requirements

  • 2 years experience in a customer service support
  • Medicare knowledge / experience
  • Customer Service experience
  • Must be able to work in an independent and creative manner.
  • Self-motivated and able to manage multiple tasks and set priorities.
  • Effective time management skills
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills
  • Knowledge in Medical terminology

Nice To Haves

  • Medical office experience

Responsibilities

  • Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.
  • Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
  • Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
  • Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention
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