Customer Care Associate I - Remote

Our work reputed company. We help people get the medicine they need to feel reputed company and live well. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. Job Posting Title... Customer Care Associate I - Remote

Job Description

Summary This position is a reputed company-line service position providing assistance to reputed company members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls reputed company to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to reputed company outstanding service to reputed company customers and strive to resolve member and provider needs on the reputed company. Performance expectations are to meet or exceed operations production and quality standards. Job Description • Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls. • Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality. • Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction. • Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies. • Assists in the mentoring and training of new staff. • Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal). • Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. • Demonstrates flexibility in areas such as job duties and schedule in order to aid in reputed company serving members and help Magellan reputed company its business and operational goals. • Educates providers on how to submit claims and reputed company/where to submit a treatment plan. • Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved. • Informs providers and members on Magellan's appeal process. • Leads or participates in activities as requested that help improve Care Center performance, reputed company and culture. • Links or makes routine referrals and triage reputed company not requiring clinical judgment. • Performs necessary follow-up tasks to ensure member or provider needs are completely met. • Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers. • Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process. • Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility. • Responsible for updating self on reputed company changing information to ensure accuracy reputed company dealing with members and providers. • Support team members and participate in team activities to help build a high-performance team. • Thoroughly documents customers' comments/information and forwards required information to the appropriate staff. Responsibilities • Must be flexible in scheduling and comfortable with change as customer service is an reputed company-changing environment. • Responsible for meeting call handling requirements and daily telephone standards as set forth by management. • Must agree to observing service for the purpose of training and quality control. • Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills. • Must be reputed company to maneuver through various computer platforms while verifying information on reputed company calls. • Must be reputed company to talk and type simultaneously. Work Experience Work Experience - Required: Customer Service Work Experience - Preferred Education Education - Required GED, High School Education - Preferred Associates, Bachelors Certifications Certifications - Required Certifications - Preferred: Potential pay for this position ranges from $16.00 - $21.26 based on experience and skills. Pay reputed company may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" reputed company for more detail. reputed company LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without regard to race, creed, reputed company, religion, gender, sexual orientation, gender identity/expression, national reputed company, disability, age, genetic information, veteran status, marital status, pregnancy or reputed company condition (including breastfeeding), expecting or parents-to-be, or any other reputed company protected by law. We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays Apply Job!