Vacancy expired!
Temporary Assignment
Estimated Length: 12 months
Requirements:
Position Description:
The positions are located within the Call Center and Administrative Staff Support unit. These positions have multiple responsibilities including, but not limited to:
Answering telephone inquiries from healthcare providers, members caregivers and advocacy groups related to prior approval of medical services such as durable medical equipment, medical supplies, hearing aids, private duty nursing and out of state inquiries involving nursing home placement and other out of state procedures.
Escalating complex inquires that cannot be answered with available information to appropriate staff
Guiding and educating providers, as well as members, on where to locate pertinent policy information
Assisting providers to troubleshoot our prior approval system(s)
Performing data entry into excel spreadsheets and other tracking tools
Monitoring incoming emails and/or faxes from a shared mailbox and forward to the appropriate staff.
Sending faxes through e-mail supported fax mailbox
Monitoring and maintaining and inventory of office supplies
Distributing fair hearing request and decisions to appropriate staff
Processing change request forms according to defined procedure
Supporting claims processing when other duties are finished
Maintaining a positive and professional demeanor always
All other activities as may be deemed necessary
Additional Skill Level, Experience or Other Requirements:
High School Graduate or Equivalent
Experience with Microsoft Word and with Basic Excel functions
Proficient in the use of standard office technology, to include fax machines, document scanners and copiers
Ability to be flexible, innovative and work in a team environment
