NCH Client Services Coordinator
2 weeks 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.
- 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.
- 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
- 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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