UM Clinical Services Assistant - Tri State / Mid Atlantic Region

Company: Beacon Health Options ( Learn More )

General Information
US-NY-New York
N/A
High School
Full-Time
At least 3 year(s)
Not Specified
False
False
Job Description

About the Position:

We are currently seeking a dynamic Clinical Services Assistant to join our team at our office in Manhattan, NY.  The Clinical Services Assistant screens incoming member and provide calls/inquiries and take data to initiate cases; quotes accurate benefit and policy information on inpatient and alternative levels of care; handles complicated inquiries, educates provides/subscribers in the certification process, and reconciles inconsistencies and procedural difficulties when necessary.  Performs all data entry for case initiation and updates and enters data in the system.

Position Responsibilities:

  • Collects demographic data from providers/subscribers for case initiation.
  • Verifies benefits against contract requirements prior to case initiation
  • Refers complicated inquiries to Care Managers
  • Completes data entry for authorizations
  • Position Requirements:

  • Education: HS Diploma or GED equivalent required
  • Relevant Work Experience:  3 years customer Service experience in a healthcare/insurance setting preferred
  • To Apply:

    Click below on “Apply for this Position” to create a profile and apply for the position

    Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.

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