The job below is no longer available.

You might also like

in Folsom, CA

Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location Folsom, CA
Folsom, California

About this job

Duties:

  • Answer inbound calls from customers who have questions about their health insurance benefits
  • Function 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 PT-1 status, transportation guidelines, member eligibility and managed care status, prior authorization, and pharmacy guidelines and procedures
  • Provide members with all current healthcare options available to promote member choice within the assigned network or managed care providers, using knowledge gained through training and other sources.
  • 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, transportation and special programs. Uses each encounter as an opportunity to educate members on all available tools, such as self-service options, to reduce their administrative work efforts
  • Ensures that Protected Health Information (PHI) is not released to otherwise unauthorized persons, unless that release is consistent with the wishes expressed on the Permission to Share Information (PSI) Form
  • Conducts a thorough health care need assessment with members, including existing and anticipated needs of all eligible family members, as needed
  • Investigates all third party resources and complies with systems and administrative requirements

Qualifications

  • Strong communication, telephone and customer service skills,
  • General PC skills
  • Strong Data Entry Skills
  • Attention to detail, ability to multitask; ability to respond to and resolve customer problems/needs
  • Prefer 6 months Experience in telephonic customer service
  • Experience in other care related positions will be considering along with face to face customer service experience.

Education:

High School Diploma or GED is required




About Aerotek:


Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.