Job Description
About the position
- Responsibilities
- Assist in resolving member and provider issues, ensuring effective communication and satisfactory resolutions.
- Oversee phone calls and faxes to the Case Management (CM) department, ensuring timely and accurate responses.
- Facilitate communication between the CM department, Compliance, and other departments regarding updates in member information, status, and services.
- Support daily operations of the Case Management Department, manage caseloads, and assist with member management.
- Undertake and manage department projects to ensure compliance and operational efficiency.
- Provide professional back-end support and customer service to members, providers, and stakeholders in line with performance standards.
- Assist with SFC Validations for members in the Structure Family Care program.
- Requirements
- Bachelor's degree
- Proven experience in administrative roles, demonstrating strong organizational skills and attention to detail.
- Solid background in customer service, with the ability to handle inquiries and resolve issues effectively.
- Experience with Excel required
- Experience with Adobe and SharePoint.
- Bilingual or multilingual abilities are a plus
- Strong ability to collaborate effectively within a team.
- Excellent technical skills with attention to detail and accuracy.
- Highly organized with strong time management skills.
- Flexible and adaptable to changing priorities.
- Reliable and trustworthy with a strong work ethic.
- Effective problem-solving abilities with a proactive approach.
- Benefits
- Competitive Salary: An attractive compensation package based on experience and qualifications.
- Comprehensive benefits, including health insurance, paid time off, and retirement plans.
- Opportunities for career development and advancement.
- A collaborative and inclusive workplace where your contributions are valued.
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