Easter Seals Jobs

Duties and Responsibilities:

• Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.

• Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans.

• Documents accurate member information in compliance with our internal procedures.

• Manages a large member caseload.

• Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.

• Escalates calls as necessary

• Additional duties as assigned.

Minimum Qualifications:

• High School diploma or GED.

Preferred Qualifications:

• Basic Microsoft Word and Excel skills.

• Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese.

• Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department.

• Demonstrated ability to document calls into a computer system.

• Knowledge of medical terminology.

Regulatory or Compliance activities: n/a

License or Certification: n/a

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.