This non-clinical position supports the department by performing a broad range of clerical duties.
KEY RESPONSIBILITIES:
- Prepares correspondence to members, providers, and facilities.
- Provides follow up with providers and members as needed.
- Reviews service requests for completeness of information.
- Enters information into the database, compiles data and runs reports.
- Receives telephone calls, answers non-clinical questions and takes information, or refers callers to appropriate parties.
- Investigates and researches calls from members, physician offices, ancillary vendors, and facilities to facilitate the authorization process.
- Duties and responsibilities of this role are clerical in nature and are not involved in in the interpretation of clinical information or evaluations.
- Performs other duties as assigned.
- Possess strong oral and written communication skills.
- Successful completion of Health Care Sanctions background check.
- Ability to reason logically and to use good judgment when interpreting materials or situations.
- Ability to organize time effectively and set priorities.
- Basic knowledge of medical terminology.
- Proficient in Microsoft applications.
- High School Diploma or equivalent.
- Two years related work experience in medical, insurance or doctor’s office environment preferred.
- Successful completion of college level education in health-related field may be applied in lieu of work experience.
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