Junior Process Executive - MRR

Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
Handle resolution/inquiries from members and/or providers
This is high volume, customer service environment. Youll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

Required Qualifications
HS Diploma or GED
1+ year of customer service experience analyzing and solving customer problems
Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
Must be able to type and talk at the same time and navigate through multiple screens
Preferred Qualifications
Experience working within the health care Industry and with health care insurance
A clerical or administrative support background
Knowledge of ICD-9 and CPT codes
Experience working with Medicare and/or Medicaid Services
Call center experience
Experience working in a metric-driven work environment
Ready to answer the callTake this opportunity to do your lifes best work.SM