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CareIQ Service Coordinator I
2 months ago
The CareIQ Service Coordinator provides administrative customer service and file management assistance to claimants, providers, claims professionals, and case managers regarding new and ongoing ancillary healthcare services.
Key Responsibilities- Provide Exceptional Customer Service: Utilize proprietary systems and knowledge from training to provide excellent telephonic and written customer service to both inbound and outbound customers.
- Accurate Data Review and Entry: Complete accurate data review and entry to ensure timely and accurate processing of customer requests.
- Operate Corporate Proprietary Systems: Learn and operate corporate proprietary systems to efficiently manage customer interactions and data.
- Request and Review Treatment Documentation: Request and review treatment and appointment documentation to verify completion and accuracy.
- Administrative Review of Claims: Complete administrative review of claim authorization, referral orders, appointment notes, and reports to ensure services are completed, ordered, and authorized in alignment.
- Stakeholder Communication: Ensure all case stakeholders are updated regularly to maintain effective communication and collaboration.
- Reporting and Correspondence: Type and proofread reports and correspondence via email and management systems to ensure accuracy and professionalism.
- Problem-Solving and Critical Thinking: Utilize problem-solving and critical thinking skills to ensure daily scheduling challenges do not cause delays in securing appointments.
- Meet Departmental Expectations: Meet departmental production and quality performance expectations to ensure high-quality customer service and efficient operations.
- Process-Oriented and Multi-Tasking Skills: Possess process-oriented and effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
- Excellent Communication Skills: Demonstrate excellent written and verbal communication skills to effectively interact with customers and stakeholders.
- Computer Proficiency: Possess computer proficiency and technical aptitude with the ability to utilize MS Office and proprietary systems.
- Interpersonal and Time Management Skills: Exhibit strong interpersonal, time management, and organizational skills to prioritize tasks and manage multiple customer interactions.
- High School Diploma: Possess a high school diploma or equivalent.
- Prior Customer Service Experience: Have prior work experience in a detail-oriented customer service environment.