Kelly Services is currently looking for skilled Intake Customer Service Representatives to work on site for a prestigious Fortune 500 healthcare company located in Rancho Cordova, CA. You will be working in a luxury and professional environment with an abundance of perks.
Pay Rate: $15.50/hr
Training Hours:T 7AM-3PM M-F (2 weeks of training, perfect is required during the first 90 days of employment)
Regular work Hours: 8:30am - 5:00pm after training M-F
Mandatory Overtime from 6:00am - 12:00pm SAT (when appreciable)
Location: Aerojet Rd, Rancho Cordova Ca 95670
Assignment length: long term with opportunity of permanency
Job Duties and Responsibilities:
Position Purpose: The Intake Representative I enters specific data/information from physicians requests into a medical management authorization system, achieving required production quota/quality standards.
Validates patient and medical provider demographic information including correct selection of a medical provider by specialty for healthcare service.
Determines whether patients are eligible to receive health care benefits under the insurance program by determining the patients status/eligibility the Primary Care Manager (doctor) type, and the appropriate referral/authorization path.
Contacts medical provider offices by telephone, and makes confirmation calls to patients for all urgent requests. Uses sound judgment in making decisions in order to keep the referral/authorization process moving forward in accordance with contractual timeliness standards.
Follows step-by-step instructions, including redirecting patients into the provider network for care, as required by contractual standards.
Formulates brief sentences/paragraphs from referral/authorization orders and prepares correspondence in business letter format to provide clinical information to servicing providers.
Generates letters and reviews to validate that they are going to the correct providers/patients, and that the provider/patient demographics and reason(s) for services to be rendered are correct.
Accounts accurately for personal production via a production report that includes outcome data such as closed transactions, duplicative transactions and requests.
Meets goals and produces results through tracking performance, improving work processes, and prioritizing work and tasks.
Achieves successful solutions by reviewing situations and ensuring a full understanding before taking steps to resolve. Key components of this responsibility are objectively identifying problems, recognizing patterns, and determining solutions.
Works as a team member; cooperates, assists and collaborates with co-workers to achieve goals and department success, and takes personal responsibility for achieving outstanding customer service.
Requires minimum six months experience in a production/data entry environment performing alpha and numeric data entry in a healthcare related organization such as managed care, claims/billing, health insurance, customer service, call center, or claims office.
License/Certification: Medically based trade school diploma/certification, desired but not mandatory
Education: Minimum of GED/High school Diploma
Due to working with an active military database, you must be a US. Citizen as well as under go a credit check, and additional National Agency Background check and clearance is required prior to starting assignment.
***If interested submit your resume to email@example.com@kellyservices.com> and one of our team members will be reaching out to you to set up an interview date and time!!***