Vacancy expired!
Transplant Benefit Specialist- Remote- PS29297Location: United StatesNewRequisition #: PS29297Transplant Benefit Specialist- PS29297Location: RemoteHours: 8-4:30 EST during trainingThe hours of the position:Monday - Friday 8:30 AM to 5 PM PSTMonday - Friday 9:30 AM to 6 PM MSTMonday - Friday 10:30 AM to 7 PM CSTMonday - Friday 11:30 AM to 8 PM ESTThe Transplant Benefit Specialist is responsible for ensuring accurate transplant benefit administration for all lines of business. Interfaces daily with providers and members to resolve benefit issues and provide education where needed. Responsible for analyzing components of benefits and alerting management of risks. Primary duties may include, but are not limited to:Interprets benefits and interfaces with members and providers to give benefit information.Prepares individual benefit quotes for members and providers for transplant benefits.Identifies high risk cases and alerts management.Interfaces with internal and external representatives on benefit issues.Creates new cases in the Medical Management System with accurate benefit, group and provider information.Creates Case Management Folders and determines initial acuity level of case.Requires High School diploma; 3-5 years related experience; knowledge of health benefits, medical terminology, ability to work and make independent decisions timely and accurately; good customer service skills, including conflict resolution; or any combination of education and experience, which would provide an equivalent background.Utilization Management experience preferred.Customer Service Call Center experience preferred.Proficiency with Microsoft Office (Outlook, Excel and Word).Ability to multi-task, detail-oriented, and strong organization skills required.An Equal Opportunity Employer/Disability/Veteran
Vacancy expired!