HIEA APD Writer
Rec Gen
Customer Experience Associate
Magellan Health
full-time
Posted on:
Origin: • 🇺🇸 United States • Hawaii
Visit company websiteSalary
💰 $31,175 - $46,765 per year
Job Level
JuniorMid-Level
About the role
- Customer advocate role supporting our members and providers, facilitating care and service.
- Handling incoming/outgoing calls related to healthcare related benefits and administration of intake documentation into the appropriate systems.
- Provide assistance to Magellan's members, providers, and clients regarding programs, policies, and procedures.
- Strive to resolve callers’ needs on the first call and meet/exceed quality standards and key performance indicators.
- Researches and articulately communicates medical information including educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries while maintaining PHI confidentiality.
- Identify and respond to crisis calls with appropriate resource; facilitate routine referrals and triage decisions not requiring clinical judgment.
- Assemble and enter patient information into the appropriate delivery system; navigate Magellan’s systems and document customer information.
- Demonstrate flexibility in duties and schedule; support team activities and continuous improvement efforts; assume responsibility for self-development.
Requirements
- 1- 2 or more years of customer service experience.
- Must be able to talk and type simultaneously, with attention to detail.
- Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.
- Responsible for meeting monthly individual call center metrics.
- Must agree to recording and evaluations for training and compliance.
- Must be proficient with keyboard functions and navigation between multiple computer applications.
- Education - Required GED, High School; Education - Preferred Associate, Bachelor's.
- Preferred work experience: Call Center, Healthcare.
- The selected candidate must live in Hawaii.
