Medical Client Service Specialist
3 days ago
About Global Channel Management
">We are seeking a highly skilled Medical Client Service Specialist to join our team. As a Medical Client Service Specialist, you will play a critical role in supporting our area clinical team and serving as a proactive resource for members related to disease prevention and benefit education.
The successful candidate will have at least 2 years of experience in a customer service support role and possess excellent interpersonal and organizational skills. They will be able to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability.
A competitive salary of $55,000 - $65,000 per year is offered for this position. In addition to the base salary, we also offer opportunities for overtime pay.
Job Responsibilities:
- Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.
- Conduct educational telephone calls advising members of available benefits, services, and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
- Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
- Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries, and authorization history; assigning members to clinical team for call outreach and intervention.
- Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program-related inquiries.
Requirements:
- At least 2 years of experience in a customer service support role.
- Excellent interpersonal and organizational skills.
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability.
- Knowledge in medical terminology.
- Self-motivated and able to manage multiple tasks and set priorities.
- Effective time management skills.
- Strong interpersonal and organizational skill.
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