TALENTRUPT RPO LLP Hiring for Customer Care Associate I at San Diego, CA Full Time

Pay Rate: $20/ hr on W2
Job Title: Customer Care Associate I
Duration: 06 Months
Location: California (REMOTE)

JOB DESCRIPTION:

• Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.
• Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.
• Resolves customer administrative concerns as the first line of contact – this may include claim resolutions and other expressions of dissatisfaction.
• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
• Assists in the mentoring and training of new staff.
• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).
• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.
• Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.
• Educates providers on how to submit claims and when/where to submit a treatment plan.
• Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.
• Informs providers and members on Magellan’s appeal process.
• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture. Links or makes routine referrals and triage decisions not requiring clinical judgment.
• Performs necessary follow-up tasks to ensure member or provider needs are completely met.
• Provides information regarding Magellan’s in-network and out-of-network reimbursement rates and states multiple networks to providers.
• Refers callers requesting provider information to Provider Services regarding Magellan’s professional provider selection criteria and application process. Refers patients/EAP clients to the Magellan’s Care Management team for a provider, EAP affiliate, or Facility.
• Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.
• Support team members and participate in team activities to help build a high-performance team. Thoroughly documents customers’ comments/information and forwards required information to the appropriate staff.

RESPONSIBILITIES:

• Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.
• Responsible for meeting call handling requirements and daily telephone standards as set forth by management.
• Must agree to observing service for the purpose of training and quality control.
• Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.
• Must be able to maneuver through various computer platforms while verifying information on all calls.
• Must be able to talk and type simultaneously.

Job Type: Contract

Salary: $18.00 – $20.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: One location