Offer summary
Qualifications:
High School Diploma/GED required, 1-2 years in customer service or medical support preferred, Knowledge of medical terminology, Good verbal and written communication skills, Ability to make decisions under supervision.
Key responsabilities:
- Review service requests for information completeness
- Document and route cases for clinical review
- Initiate contact with members and providers to clarify cases
- Assist members in accessing services and resolving issues
- Handle pre-certification requests under oversight of clinical staff