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NCH Client Services Coordinator
3 months ago
6 Months
Training 6:30 am-3pm Pacific Time
Call Center hours; 5a-5pm Pacific
100% remote
Job Description:
Looking for candidates with Utilization Management, Oncology, Cardiology, or pharmacy tech experience to intake on complex specialty authorizations.
Will be a combo of inbound calls, faxes, and making outbound calls to obtain missing information for needed information.
Responsibilities:
The Client Services Coordinator is responsible for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client contractual agreements.
Along with providing exceptional customer service, this role is held accountable to performance metrics to ensure service level agreements are met.
This role routinely contacts the physician's offices, Health Plans or patients to complete medical treatment requests.Answers, resolves or escalates incoming telephone, fax, and email inquiries regarding authorization request status, office referrals, eligibility, and general inquiries.
Experience You'll Need (Required):A high school diploma or GED
College degree OR practical job experience
Ability to sit for the majority of shift
Frequent typing, viewing computer monitor, and use of telephone
Ability to read, write and speak the English language fluently with patients and providers
Attention to detail
Proficient written and verbal communication skills
Strong customer service skills and professional telephone etiquette
Ability to balance workload and prioritize assignments Self-motivated with the ability to work under minimal supervision
Team oriented, demonstrates a strong work ethic and committed to productivity
Manager's Notes:
Stability is key:
immediately turned down 'job-hoppers'
Consistency in roles:
not going back and forth from one type of position to another (so on and so forth)
Experience:
related to UM or claims space highly preferred
Nursing Licenses:
will be passed over as they are overqualified for the role and will likely fall off
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