- Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify any issues or risk factors that require clinical escalations to a CM/PCM.
- Initiate and finalize authorization in Trucare for preapproved services and DMEs and update and discontinue authorizations when applicable
- Handle and accurately document calls to and from members to assist with benefit questions/issues, schedule appointments, assessment inquiries, service issues and grievances
- Handle and accurately document calls to and from providers regarding authorizations initiation/updates, referrals, visits, tests, and faxed care plans
- Provide education to members and providers regarding requirements for approval of service requests
- Manage a large caseload while communicating member issues or needs and monitoring screening of members effectively to improve quality and cost outcomes
- Communicate with Inter/Intra-departments regarding reconciling onboarding issues
- Additional duties as assigned
Minimum Qualifications:
- High School diploma or GED equivalent
- Experience in a customer service environment
- Experience working in a fast-paced environment that requires handling multiple priorities simultaneously
- Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
everydrop by Whirlpool Ice and Water Refrigerator Filter 1, EDR1RXD1, Single-Pack , Purple
$47.99 (as of October 10, 2024 14:46 GMT -05:00 - More infoProduct prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on [relevant Amazon Site(s), as applicable] at the time of purchase will apply to the purchase of this product.)