Job Details

Our Client, a Retail Pharmacy company, is looking for a Healthcare Call Center Representative (Inbound) for their Remote location.

Responsibilities:

• The Inbound Queue Associate takes phone calls and faxes from providers (clinics, hospitals, and doctors), requesting prior authorization approval that is required for medical procedures prior to their initiation.
• As part of our nonclinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our providers.
• Take inbound calls from providers in a call center environment.
• Perform data entry fax requests received from an inbound fax queue.
• Perform quality check authorizations submitted through a web portal.
• Assist callers from hospitals, clinics, facilities, and other health care providers to create and manage requests for medical services.
• Follow processes and guidelines to determine approved services that do not require a medical review, in accordance with the benefit plan.
• Complete special projects in accordance with business needs (i.e. return mail, member surveys, sorting, etc.).
• Promote and support quality effectiveness of healthcare services.
• Approve services that do not require a medical review in accordance with the benefit plan.
• Perform nonmedical research, including eligibility verification and COB (Coordination of Benefits).
• Protect the confidentiality of member information while adhering to company policies regarding confidentiality.
• Use work appropriate systems
• Perform sedentary work involving significant periods of sitting, talking, hearing, and keying.
• Maintain visual acuity, in order to perform close inspection of written and computer generated documents.

Requirements:

• 1+ year high volume healthcare call center experience.
• Must be comfortable handling heavy inbound provider call traffic.
• Strong data entry and system navigation skills.
• Verifiable High School Diploma Or Ged Required
• 1+ years of experience in a high-volume, health care call center environment.
• 1+ years of experience in data entry.
• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).
• 3 years of experience in a high-volume, health care call center environment.
• Strong customer service skills, catering each interaction individually to those being assisted.
• Strong telephonic communication.
• Strong organizational and time management skills.
• Ability to multi-task proficiently.

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.