Job Description:
• Supports comprehensive coordination of medical services including completing member outreaches
• Assists with service authorizations and member mailings
• Builds, researches, and enters member information as needed
• Coordinates and arranges for health care service delivery under the direction of the nurse or medical director
• Promotes communication to enhance effectiveness of medical management services
• Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases
• Provides support services to team members by answering telephone calls, taking messages, and researching information
• Maintains accurate and complete documentation of required information
• Protects the confidentiality of member information
Requirements:
• 2+ years of experience in customer service, telemarketing and/or sales
• Demonstrated knowledge and use of Microsoft Office Suite including Outlook, Word, Excel, Teams, Etc.
• Previous MCO experience
• High School Diploma or equivalent GED
Benefits:
• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility