Medical Customer Customer

Job Overview

Job Description

Medical Customer service needs 2 years experience in a customer service support

Medical Customer service requires:
Medicare knowledge / experience,
Customer Service experience
Must be able to work in an independent and creative manner.
Self-motivated and able to manage multiple tasks and set priorities.
Effective time management skills
Excellent oral and written communication skills
Strong interpersonal and organizational skills
Knowledge in Medical terminology

Medical office experience a plus

Medical Customer service duties:
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