
Healthcare Customer Service Specialist
4 days ago
As a valued member of our clinical support team, you play a pivotal role in customer satisfaction and are responsible for making every interaction informative, productive and positive for our members and providers.
You'll have the opportunity to engage in live outreach, educating members about program benefits and services while also helping to manage member cases. Primary responsibilities include managing intake, referrals, and prior authorizations, providing triage and care coordination, and handling resolution/inquiries from members and/or providers.
This is a high-volume, customer service environment that requires efficiency, productivity, and thoroughness when dealing with members over the phone. A flexible schedule including evening hours is necessary.
We seek individuals with excellent customer service skills, experience analyzing and solving customer problems, and proficiency in Microsoft Word and Excel. Experience working within the healthcare industry and knowledge of ICD-9 and CPT codes are preferred.
At our organization, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life, and we are committed to mitigating our impact on the environment and enabling equitable care that addresses health disparities and improves health outcomes.
Key qualifications include:
- Excellent communication and interpersonal skills
- Ability to work in a fast-paced environment and manage multiple priorities
- Strong analytical and problem-solving skills
- Proficiency in Microsoft Office, including Word and Excel
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