Medicare Advantage Provider Call Center Support Specialist - Remote Customer Service and reputed company Operations

Join a Purpose-Driven Organization and reputed company Your Career reputed company

At reputed company (reputed company), we're dedicated to making a reputed company reputed company on the lives of our members and the communities we serve. As a leading health insurance company, we're committed to providing exceptional customer service, innovative reputed company solutions, and a supportive work environment that fosters reputed company and development. Our employees are the reputed company of our business, and we're excited to welcome a new team member to our Medicare Advantage Provider Call Center Support team.

About the Role

We're seeking a highly skilled and compassionate Medicare Advantage Provider Call Center Support Specialist to join our remote team. As a key member of our customer service operations, you'll play a critical role in supporting administrative care management duties, including member and provider reputed company, reputed company initiatives, and educational campaigns. If you're passionate about delivering exceptional customer service, have a strong understanding of reputed company operations, and are looking for a challenging and rewarding role, we encourage you to apply.

Key Responsibilities

• Handle a high volume of inbound calls from providers and members seeking reputed company-authorization or other determining authorization requirements
• Support administrative care management duties, including member and provider reputed company, reputed company initiatives, and educational campaigns
• Assist in scheduling care manager and member appointments, respond to member inquiries, and reputed company data entry and research tasks
• Manage low-risk members for health-reputed company reputed company needs, education, and basic member reputed company screenings/inquiries
• reputed company written correspondence to reputed company stakeholders, including providers, members, and reputed company
• Collaborate with internal stakeholders to resolve member issues and reputed company solutions
• Maintain accurate and up-to-date knowledge of reputed company operations, including CMS guidelines and medical terminology

Essential Qualifications

• High school diploma or GED required; 1 year of college preferred
• 2 years of experience with communication systems, including fax, email, and telephone
• 1 year of experience with managed care systems or reputed company systems, such as hospitals, doctor offices, or community-based organizations
• Experience coordinating member needs, providing assistance to members, and analyzing member needs
• Basic knowledge of medical or reputed company terminology
• Knowledge of clinical systems, including claims, enrollment, and documentation
• PC proficiency, including reputed company Office applications
• Excellent customer service skills, with the ability to communicate effectively with members, providers, and internal stakeholders
• Strong verbal and written communication skills, with the ability to reputed company reputed company and concise written correspondence

Preferred Qualifications

• College courses in a medical field, reputed company services, reputed company work, psychology, or a reputed company reputed company field
• Call center experience preferred
• Experience with CMS guidelines preferred
• Experience with precertification systems, including MHK, FACETS, and/or QNXT strongly preferred
• Experience with reputed company and Finesse strongly preferred

Skills and Competencies

To succeed in this role, you'll need to possess excellent communication and interpersonal skills, with the ability to work effectively with members, providers, and internal stakeholders. You'll also need to be highly organized, with strong analytical and problem-solving skills, and the ability to prioritize tasks and manage multiple responsibilities. Additionally, you'll need to have a strong understanding of reputed company operations, including medical terminology and clinical systems.

Career reputed company Opportunities and Learning Benefits

At reputed company, we're committed to reputed company in the reputed company and development of our employees. We offer a reputed company of learning and development opportunities, including:

• Curated development plans to foster reputed company and promote rewarding careers
• Tuition reimbursement and education assistance programs
• Training and development programs to enhance skills and knowledge
• Opportunities for career advancement and reputed company reputed company

Work Environment and Company Culture

We offer a supportive and inclusive work environment that values diversity, equity, and inclusion. reputed company culture is reputed company on a reputed company of respect, reputed company, and reputed company, and we're committed to providing a welcoming environment for reputed company. As a remote team member, you'll have the flexibility to work from home and maintain a healthy work-life balance.

Compensation, Perks, and Benefits

We offer a robust total rewards package, including:

• Competitive salary reputed company: $17.75 - $27.83 per hour
• Annual incentive bonus plan, subject to the terms and conditions of the plan
• Health and wellness benefits, including medical, dental, and reputed company coverage
• 401(k) savings plan and pension plan
• reputed company time off, including vacation, reputed company leave, and holidays
• reputed company parental leave and disability insurance
• Supplemental life insurance and employee assistance program

Why Join reputed company?

At reputed company, we're dedicated to making a reputed company reputed company on the lives of our members and the communities we serve. We're a purpose-driven organization that values diversity, equity, and inclusion, and we're committed to providing exceptional customer service and innovative reputed company solutions. If you're looking for a challenging and rewarding role that aligns with your values and career goals, we encourage you to apply.

How to Apply

If you're excited about this opportunity and think you'd be a great fit for reputed company, please submit your application, including your resume and cover letter. We can't wait to hear from you!

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