WCMCCM ECPrecert Specialist
نُشرت في :
28-06-2024
صاحب العمل نشط
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيValid email field required
أرسل الوظائف
شارك هذه الوظيفة
أرسل لي وظائف مشابهة
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيValid email field required
أرسل الوظائف
الراتب الشهري
لم يكشف
لم يتم الكشف عن الراتب
نُشرت في :
28-06-2024
الوصف الوظيفي
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans for employers etc.
Title: WCM/CCM EC/Precert Specialist
Work Location: Detroit MI 48243
Duration: 12 Months
Job Type: Contract
Work Type: Remote
Dept: Commercial Inpatient Pr
Note: Anticipated work hours are between 8:00a.m. 5:00p.m
Engagement Description:
Required Skills and Experience:
- Medical Terminology or medical background such as nursing assistant/tech or doctor office experience
- Customer Service experience
- Exceptional phone skills
- Administrative/PC skills
Education/Certifications Include:
- Associate degree level preferred
- Highly preferred:
- Provide high quality member focused servicing using knowledge of plans products systems and procedures to meet or exceed member experience
- Assist in locating primary care physicians specialists and dentists
- Thoroughly explain wellness care management program benefits to members
- Work as a team member to assist nurses in researching providers eldercare nursing homes
- Concisely and accurately enter documentation into Care Advance
- Effectively engage over the phone via both inbound and outbound members that qualify for our clinical programs or those who are interested in learning more about our services
- Refer and/or warm transfer to wellness and care management components and other client areas and vendors as needed
- Process provider requests as needed
- Act as members first trusted source for WCM programs
- Schedule appointments between the member and coach in appropriate systems
- Assign referrals to designated staff
- Process requests for compliance inquiries
- Access various WCM department mailboxes and voicemail as needed
- Ability to function independently
- Critical Thinking
- Quick learner
- BiLingual/Spanish
TekWissen Group is an equal opportunity employer supporting workforce diversity.
نوع التوظيف
دوام كامل
المهارات المطلوبة
الإبلاغ عن هذه الوظيفة
إخلاء المسؤولية: د.جوب هو مجرد منصة تربط بين الباحثين عن عمل وأصحاب العمل. ننصح المتقدمين بإجراء بحث مستقل خاص بهم في أوراق اعتماد صاحب العمل المحتمل.
نحن نحرص على ألا يتم طلب أي مدفوعات مالية من قبل عملائنا، وبالتالي فإننا ننصح بعدم مشاركة أي معلومات شخصية أو متعلقة بالحسابات المصرفية مع أي طرف ثالث. إذا كنت تشك في وقوع أي احتيال أو سوء تصرف، فيرجى التواصل معنا من خلال تعبئة النموذج الموجود على الصفحة اتصل بنا
