Ref ID: 04082-9502687142
Classification: Customer Service Representative
Compensation: $14.50 to $15.00 hourly
Our client, a Health Care Provider, will be interviewing candidates immediately.
• Initiate authorization requests for output or input services in keeping with the prior authorization list.
• Outbound phone calls to providers and members
• Perform tasks necessary to promote member compliance such as verifying appointments obtaining lab results.
• Screen for eligibility and benefits and identify members without a PCP and refer to Member Services.
• Screen members by priority for case management CM assessment.
• Perform transition of care duties to include but not limited to contact the member’s attending physician member or medical power of attorney other medical providers home health agencies equipment vendors for information pertaining to special needs.