Offer summary

Qualifications:

High School diploma or GED required; Associate or Bachelor's degree preferred., 1-2 years of customer service experience, preferably in a call center or healthcare setting., Proficient in keyboard functions and navigating multiple computer applications., Ability to talk and type simultaneously with attention to detail..

Key responsabilities:

Provide assistance to members and providers regarding healthcare benefits and services.

Handle incoming and outgoing calls, ensuring outstanding service and resolution on the first call.

Document customer information accurately and maintain confidentiality of Protected Health Information (PHI).

Meet key performance indicators and participate in team activities to improve performance and quality.

Job description

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.

Customer advocate role supporting our members and providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers’ needs on the first call. Performance expectations are to meet and/or exceed customers’ expectations and our quality standards.

Researches, articulately communicates medical information regarding a variety of services including: educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI.).

Meets key performance indicators and service standards while showing compassion to members and providers per Magellan’s values and mission.

Identifies and responds to crisis calls with appropriate resource.

Facilitates routine referrals and triage decisions not requiring clinical judgment.

Comprehensively assembles and enters patient information into the appropriate delivery system.

Demonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help Magellan achieve its business and operational goals.

Supports team members and participate in activities to help build a high-performance team.

Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

Responsible for staying abreast of operational changes, updating self to ensure accuracy.

Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

Leads or participates in activities as requested that help improve Care Center performance, quality, and culture.

Navigate Magellan’s systems, document customers' comments/information and forwards required information.

Responsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information.

Auto req ID

435351BR

Minimum Education Required

High School/GED

Job_Category

Customer Service

Additional Qualifications/Responsibilities

1- 2 or more years of customer service experience.

Must be able to talk and type simultaneously, with attention to detail.

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

Responsible for meeting monthly individual call center metrics.

Must agree to recording and evaluations for training and compliance.

Must be proficient with keyboard functions and navigation between multiple computer applications

General Job Information

Title

Customer Experience Associate I, Healthcare

Grade

17

Work Experience - Required

Customer Service

Work Experience - Preferred

Call Center, Healthcare

Education - Required

GED, High School

Education - Preferred

Associate, Bachelor's

License and Certifications - Required

License And Certifications - Preferred

Salary Range

Salary Minimum

$31,175

Salary Maximum

$46,765

City*

United States

State*

N/A

Job Code

Health-Services health-services

Affiliate Sponsor

Magellan Federal - AFSC

Required profile