This position supports the organization’s service center by providing daily customer service to physicians and/or staff, employees, health and dental plan members and dependents, payers, hospital staff, and the community at large.
ESSENTIAL FUNCTIONS
1. Receives, documents, researches and responds to customer inquiries or complaints following established policies, procedures and standards.
2. Prepares and/or initiates a variety of correspondence/documents in response to inquiries or complaints, following departmental procedures.
3. Facilitates timely research and resolution of complaints through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives. May perform account reconciliation, billing and payment posting.
4. Educates customers on benefits programs by providing information related to the use of a plan, eligibility, appeals process and claim status concerns. This includes providing information pertaining to the managed care organization, related services, and practitioners providing care, and members’ rights and responsibilities.
5. Multi-tasks between inbound customer calls and other prioritized projects or duties. Actively identifies opportunities to improve work processes.
6. Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the department’s ongoing goals and objectives.
7. Provides informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management.
If you or someone you know is interested in these positions please send your resumes to ROMT021@kellyservices. com
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn.