Job Description:
• Handle all incoming MedWatch calls, including starting cases, completing call logs, forwarding calls, providing case status, and providing claims phone numbers
• Make outgoing calls for demos, case-completion information, Bill to Dates, and Discharge dates
• Complete incoming electronic Webcerts
• Send CM Reports/Invoices and Path letters for MedWatch cases
• Handle incoming Path letter responses
• Attach and distribute 100 to 200 faxes per day, sometimes opening cases from faxes
• Make calls to DMTHR patients, introduce the nurse and program, and transfer cases to the DM nurse
• Take calls from DMTHR patients, explain the program, and transfer them to the DM nurse
• Review nurse emails for miscellaneous case requests, case openings, and information changes
• Review the CM Inbox and address emails regarding new CM cases and UR procedures
• Verify, correct, and complete patient and provider demographics
• Handle fax failures by researching fax numbers and manually re-faxing when necessary
• Fax PA Reviews for nurses
• Create cheat sheets, documents, spreadsheets, and correspondence
• Set follow-up dates for HRAs in DM
• Handle mailing for UR, CM, and DM
• Perform other duties or responsibilities as assigned
Requirements:
• High School Diploma
• Excellent data entry and typing skills
• Basic computer skills and proficiency in relevant computer applications
• Knowledge of medical terminology
• Ability to handle multiple complex tasks simultaneously with attention to detail and accuracy
• Knowledge of customer service principles and practices
• Some experience in a call center or customer service environment
• Verbal, written, and listening communication skills
• Stress tolerance and teamwork
• Good organizational skills and time management
• Excellent verbal and written communication skills
• Ability to handle difficult situations tactfully and diplomatically
• Effective problem-solving and decision-making skills
• Strong computer skills with proficiency in MS Office Suite products, including Word, Excel, and PowerPoint
• Ability to work in the United States for any employer without sponsorship
• Dedicated, quiet workspace in the home
Benefits:
• Paid time off
• Medical insurance
• Dental insurance
• Vision insurance
• Short-term disability
• Long-term disability
• Life insurance
• AD&D insurance
• 401(k) with match
• Critical illness coverage
• Legal plan
• Identity theft coverage
• Pet insurance
• Discount programs