About the job Medical Customer Service Medical Customer service needs 2 years experience in a customer service support Medical Customer service requires:
- Medicare knowledge / experience,
- Customer Service experience
- Medical office experience a plus
Ø Must be able to work in an independent and creative manner. Ø Self-motivated and able to manage multiple tasks and set priorities. Ø Effective time management skills Ø Excellent oral and written communication skills Ø Strong interpersonal and organizational skills Knowledge in Medical terminology Medical Customer service duties: Ø Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education. Ø Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate. Ø Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention
