Remote- Healthcare Customer Service

Remote Full-time
Job Title: Healthcare Customer Service

Contract Duration: 3 month with potential to extend or convert...

Pay Rate: $20.00/hr

Location: Remote - Must reside in US

Work Hours: 8:30 - 5:30 EST

Qualifications/Skills Needed
2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties
Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment
Operation of office equipment such as a personal computer
Knowledge of medical terminology
Time management & organizational skills are a MUST
Knowledge of medical terminology
Communication skills required
Great excel skills
High school diploma or equivalent
Basic knowledge of Microsoft office

Day To Day Responsibilities Of Role
Assist in activities related to the medical and psychological aspects of utilization and coordinated care
Outreach attempts via telephone to members assigned each day
Consistently updating an excel spreadsheet with member assignments listed
Consistent communication with supervisor
With each phone call- documentation is required in Virtual Health

Performance Expectations
Must be able to make high volume of outbound calls
Medical terminology
Reliable home internet is required with dedicated work space due to HIPPA (Hardwire internet connection) Please put on Resume.
Completing 80-120 phone calls a day to the Medicare Population
Compliance is required to be 100% of all assigned members
Engagement Rate will need to be at 80% or more a month
Time off is not permitted in the first 90 days of employment unless pre-planned during the interview
Audit score of a minimum of 90%
Completion of 600 members a month is required (30 new members daily assigned

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