Remote- Healthcare Customer Service

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