Job Description

• Handle inbound/outbound provider calls for voice support
• Address all queries from Providers (Eligibility and Benefits, claim status, Authorization, other inquiring pertaining to the account of the Member) supported by the business.
• Understand the Account's Business Strategy and managed care direction.
• Utilize and be familiar with current system functions, applications and enhancements.
• Additional responsibilities include development and training of self and co-workers.
• Suggest and shares ideas for system improvements.
• Experiments with and accepts new ideas in a positive and timely manner
• The Healthcare Associate must achieve and maintain the Account's Key Performance Measures.
• Provide exceptional customer service to callers over the phone.
• Maintain a high level of professionalism towards peers at all times.
• Abide by and be familiar with all the polic...