Overview:
We invite you to come be a part of a growing, cutting-edge health plans department and leading home care organization with over 130 years in the business. In this role, you’ll be responsible for efficiently handling authorization/service requests, collaborating across departments to resolve issues promptly, and ensuring effective and timely delivery of services.
Responsibilities:
What We Provide
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
- Employer-matched 401k retirement saving program
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth and career advancement and CEU credits
What You Will Do
- Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely manner
- Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies
- Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails
- Coordinates with Providers and Members regarding authorization requests and/or activities
- Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues
Qualifications:
Education:
- High School Diploma or equivalent required
Work Experience:
- Minimum of two years of experience in a customer service role required
- Excellent oral and written communication skills required
- Advanced personal computer skills, including Word, Excel or Access required
- Utilization Management experience preferred
Pay Range:
USD $20.98 - USD $26.23 /Hr.