Clinical Service Rep - Early Intervention Program

- Responsible for communication between all customers via telephone. - Customers include employees, members, physicians, referral sources, and providers. - The communication includes, benefit coverage, medical services, appeals and grievances, - provider access and availability, claims investigation. - The position utilizes computer terminal to manage and obtain essential information. - Researches inquiries and demonstrates a strong ability to resolve issues according to the - Plan document and policies and procedures. - Refers unsolved inquiries and corrections to the appropriate analyst for resolution. - Achieves maximum time effectiveness and customer service by answering all incoming - phone calls within 3...