Job Description
Provider Services Associate
kansas city, missouri(remote)
$17 – $17.30 per hour
temp to perm
high school
category healthcare support occupations
reference AB_4432438
Job details
NOW HIRING!!! Remote Associates!!!
Do you care about people??? We believe in the power of partnerships to help people navigate their care with less friction, frustration, and fear. And that every person deserves the same level of care and compassion we would want for our loved ones.
We know the sharpest minds are better together. That’s why we put such a high premium on teamwork and collaboration and why diversity and inclusion are core to our culture. Do you feel the same way??? If so, APPLY NOW!!! Be a part of a team who cares!!!
- salary: $17 – $17.3 per hour
- shift: First
- work hours: 8 AM – 10 PM
- education: High School
Responsibilities
- Understand the end-to-end authorization process, and the business drivers for success.
- Actively listen and probe callers in a professional and timely manner to process authorizations and/or other customer service requests working towards first call resolution.
- Research and communicate information regarding member eligibility, provider status and authorization inquiries to callers while maintaining confidentiality.
- Resolve customer complaints or concerns as the first line of contact.
- Make problem resolution and triage decisions not requiring clinical judgment.
- Discourage unnecessary clinical/physician phone transfers and encourage medical records to be submitted. Help callers understand what clinical information is required.
- Transfer calls to clinicians and physicians only for clinically escalated situations.
- Communicate appeal and denial language to providers and members when appropriate.
- Process withdrawals and other case status changes as needed.
- Understand client and regulatory expectations for accounts in their designated region.
- Process fax attachments in between calls.
Skills
- authorization process
- Actively listen
- member eligibility
- problem resolution
- Health Insurance (1 year of experience is preferred)
- Call Center (1 year of experience is required)
- Customer Service experience
- Type 30wpm
- multi-task
- Appeals and Denials
Qualifications
- Years of experience: 1 year
- Experience level: Experienced