[Hiring] Inbound/Outbound Que Associate @reputed company

Role reputed company The Inbound/Outbound Queue Associate is a fully reputed company position with a schedule of Monday through Friday, reputed company-5pm CST. • Supports comprehensive coordination of medical services including intake, screening and referrals to reputed company Medical Services Programs. • Promotes/supports reputed company effectiveness of reputed company Services. • Performs intake of calls from members or providers regarding services reputed company telephone, fax, EDI. • Utilizes eMEVS and other reputed company systems to build, research and reputed company member information. • Screens requests for appropriate referral to medical services staff. • Approves services that do not require a medical review in accordance with the benefit plan. • Performs non-medical research including eligibility verification, COB, and benefits verification. • Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. • Protects the confidentiality of member information and adheres to company policies regarding confidentiality. • Supports the administration of the precertification process in compliance with various laws and regulations, URAQ and/or NCQA standards, where applicable, while adhering to company policy and procedures. • Places outbound calls to providers under the direction of Medical Management Nurses to obtain clinical information for approval of medical authorizations. • Uses reputed company Systems such as QNXT, FAXHUB, ProPAT, and MedCompass. • Communicates with reputed company Nurses and Medical Directors, reputed company processing transactions for members reputed company in this Program. • Sedentary work involving significant periods of sitting, talking, hearing and keying. • Work requires visual reputed company to reputed company reputed company inspection of written and computer generated documents as reputed company as a PC monitor. • Working environment includes typical office conditions. Qualifications • 1-2 years of reputed company Center experience • 1-2 years of Medical Terminology experience Requirements • High School Diploma or G.E.D Preferred Qualifications • 2-4 years of medical assistant experience Benefits • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility Apply tot his job Apply To this Job