Match score not available

Temp to Perm - Non-Clinical - Customer Service Representative (Days)

Remote:

Full Remote

Contract:

Freelance

Work from:

Indiana (USA), United States

Offer summary

Qualifications:

Experience in customer service roles, Strong problem-solving skills, Ability to work with vulnerable populations, Knowledge of benefits and eligibility processes.

Key responsabilities:

Assist members with inquiries and service navigation
Educate members on services and health resources

Accede Solutions Inc (accedesol.com) Human Resources, Staffing & Recruiting SME https://accedesol.com/

See more Accede Solutions Inc (accedesol.com) offers

Job description

Temp to Perm - Non-Clinical - Customer Service Representative (Days)

Duration:13 Weeks
Start: 12/16/2024
Shift : 8 hours/day
Remote role(After training)

Remote with onsite/virtual training. Work from home position after training completion
This position will be responsible for daily member telephone calls which will include directing
members to the proper services needed, educating members, problem solving, and creating
linkages to the Medical Management Department for authorization of services. Also may be
responsible for assisting providers with eligibility, benefit, and resolution of claims issues.
Responsibilities:
1. Meet the Department standard of calls answered, and call documentation entered.
2. Assist Members and Providers with questions and concerns.

Finding Provider(s)/Services for members
Arrange Transportation for members
Answer billing/claims status questions; resolve claim issues for members
Assist with pharmacy issues
Help Members access community support services
Verify member eligibility
Quote benefits
Assist with Referrals
Assist with member health assessments
Assist members with closing gaps in care

3. Ongoing member education.
4. Responsible for all benefits information given to Members and Providers.
5. Participate in Departmental Projects, as appropriate.
6. Coordinate quality improvement initiatives with Medical Management, Provider Relations,
and Quality Depts., i.e., Preventative Health Screenings.
7. Other duties as assigned or when necessary to maintain efficient operations of the
department and the Company as a whole.

About Accede:
Accede Solutions is a Nationally Certified Search firm providing services in multiple sectors. We are a Women and Minority-owned Business with a strong emphasis on Diversity, Equity, and Inclusion (DEI). We have managed and Implemented Talent Acquisition and Talent Management processes and had successful engagement with clients in the areas of Financial Services, Technology, healthcare and professional services. We provide a full range of talent acquisition and management services designed to maximize the efficiency of your information management operation.
From executive recruiting, to contract-to-hire placement, to contract employment, we offer solutions for your day-to-day workflow issues as well as workload spikes and special projects. We also specialize in retained executive search focused on recruiting distinctive leaders and C level roles. With a track record of successfully recruiting key human capital leaders, we have earned a reputation for insightful and nuanced cultural advisory work built on a platform of strong capability supported by a rigorous and artful approach in assessing cultural fit.

We were listed as Fast 100 Asian American firm in 2023 & 2024 by USPAACC and listed as # 2115 fastest growing companies in US in INC5000

Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities

Accede is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.
#IND123