Take inbound calls from patients, providers and members, manage calls for patients that may be sick, and support members with their insurance needs. This role will also provide 24/7 Triage Support and assign priority for a Registered Nurse to provide health advice. Answer inquiries on benefit claims, appeals, and authorizations.
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Answer a high volume of inbound calls, transfer and direct calls, and provide exceptional customer service. You will handle front office patient coordination, including appointment scheduling and transport coordination. You will also contact health plans and verify patient insurance information. Communicate effectively with patients, clients, team members, peers, and leadership, and accurately input data into Carenet and EMR databases.