Maryland Heights, Missouri, Orlando, Florida.Phoenix, Arizona, Phoenix, Arizona, Richmond, Virginia, United States, United States Minor Outlying Islands,
Magellan Health is the leader in managing complex population health, concentrating on all areas across healthcare and pharmaceutical management.
At Magellan Health, 10,000 people wake up every day determined to help our members. We do this by connecting behavioral, physical, pharmacy and social needs into a complete picture of the care that’s personalized, coordinated, and cost-effective. By turning fragmented care into focused care, we empower 1 in 10 Americans to lead healthier, more vibrant lives. Read employee reviews here
are. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.
Other Job Requirements
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 observe 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.
*** $1000 sign on bonus**
Maryland Heights, Missouri, Orlando, Florida.Phoenix, Arizona, Phoenix, Arizona, Richmond, Virginia, United States, United States Minor Outlying Islands,
Understands the end-to-end authorization process, the SBU's business and business drivers for success.
Actively listens and probes callers in a professional and timely manner to process authorizations and/or other customer service requests working towards first call resolution.
Researches and communicates information regarding member eligibility, provider status, and authorization inquiries to callers while maintaining confidentiality.
Resolves customer complaints or concerns as the first line of contact.
Makes problem resolution and triage decisions not requiring clinical judgment.
Discourages unnecessary clinical/physician phone transfers and encourages medical records to be submitted. Helps callers understand what clinical information is required.
Transfers call to clinicians and physicians only for clinically escalated situations.
Norristown, Pennsylvania, Customer Care Associate I- Partial Remote
Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.
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 observe 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.
Actively listens and probes callers in a professional and timely manner to determine the 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.
*** 1,000 Sign On Bonus***
The United States, United States, United States Minor Outlying Islands District of Columbia,Phoenix, Arizona, Orlando, FloridaArlington, Virginia,
This position primarily handles outbound call queues for designated clients related to authorization processing for multiple medical specialties and products. This may include notification calls to ordering physicians, imaging facilities, and members, as well as other benefit-related calls.
Other Job Requirements
Responsibilities
Knowledge of medical terminology.
Customer Service in Healthcare experience.
Experience with computer and keyboard use while talking and typing (minimum 35 WPM) simultaneously.
Minimum 1 year of Customer Service experience
Designs, develops and manages assigned products and services for an assigned SBU(s). Responsibilities include, but are not limited to conceptualizing, translating market research and needs, mobilizing design teams, implementing and launching new products and enhancements. Interprets product performance in conjunction with operating business units and clinical and quality, formal reviews to determine opportunities for improvement in product design and specifications.
Other Job Requirements
Responsibilities
MINIMUM REQUIREMENTS:??1. Education: BA/BS2. Experience: Minimum three years experience in appropriate technologies for the functional area.PREFERRED QUALIFICATIONS:?1. Education: Bachelor s degree in Computer Science, Information Systems or related field.2. Experience: Experience in the managed care, healthcare, or insurance industries preferred.?Knowledge and skills: Experience with structured system development methods.
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