Remote- Healthcare Customer Service

Remote Full-time
Job Title: Healthcare Customer Service

Contract Duration: 3 month with potential to extend or convert...

Pay Rate: $20.00/hr

Location: Remote - Must reside in US

Work Hours: 8:30 - 5:30 EST

Qualifications/Skills Needed
Ā• 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties
Ā• Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment
Ā• Operation of office equipment such as a personal computer
Ā• Knowledge of medical terminology
Ā• Time management & organizational skills are a MUST
Ā• Knowledge of medical terminology
Ā• Communication skills required
Ā• Great excel skills
Ā• High school diploma or equivalent
Ā• Basic knowledge of Microsoft office

Day To Day Responsibilities Of Role
Ā• Assist in activities related to the medical and psychological aspects of utilization and coordinated care
Ā• Outreach attempts via telephone to members assigned each day
Ā• Consistently updating an excel spreadsheet with member assignments listed
Ā• Consistent communication with supervisor
Ā• With each phone call- documentation is required in Virtual Health

Performance Expectations
Ā• Must be able to make high volume of outbound calls
Ā• Medical terminology
Ā• Reliable home internet is required with dedicated work space due to HIPPA (Hardwire internet connection) Please put on Resume.
Ā• Completing 80-120 phone calls a day to the Medicare Population
Ā• Compliance is required to be 100% of all assigned members
Ā• Engagement Rate will need to be at 80% or more a month
Ā• Time off is not permitted in the first 90 days of employment unless pre-planned during the interview
Ā• Audit score of a minimum of 90%
Ā• Completion of 600 members a month is required (30 new members daily assigned

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