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in Folsom, CA
CSR (MASS Health) - Full-time / Part-time
•30 days ago
Hours | Full-time, Part-time |
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Location | Folsom, CA Folsom, California |
About this job
Responsible for acting as the front-line contact for all members by responding to a high-volume of incoming calls from members and prospective members. Respond accurately to provider calls related to transportation guidelines, member eligibility and managed care status, prior authorization, and pharmacy guidelines and procedures.
- Accesses, reads and interprets intranet, client and provider data elements on all systems.
- Copes with the stress of high call volume or emotionally charged encounters by approaching each call with level- headedness, compassion and empathy.
- Assists in educating and instructing members on routine policy matters such as, and not limited to: eligibility and enrollment, claims and premium billing, managed care, covered services
- Conducts a thorough health care need assessment with members, including existing and anticipated needs of all eligible family members, as needed.
- Performs, accurately, all data entry functions to reflect member or provider activity-/transactions.