Managed Care Services Representative - Remote

Overview

The Managed Care Services Representative is responsible for obtaining and managing insurance referrals for patients, ensuring effective communication with healthcare providers and insurance companies, all while working remotely.

In Short

• Work from home position.
• Collaborate with practices, physicians, and patients.
• Obtain and document insurance referrals.
• Communicate with patients and payor representatives.
• Utilize EPIC's Referral Management system.
• Perform administrative and clerical duties.
• Resolve insurance discrepancies and issues.
• Educate patients about their insurance benefits.
• Process and submit insurance claims.
• Maintain confidentiality and professionalism.

Requirements

• High school diploma or equivalent required.
• 3 years of experience in Registration, Scheduling, and Insurance Authorization.
• Experience in a call center environment.
• Proficient with EPIC and Microsoft Office applications.
• Strong interpersonal and customer service skills.
• Ability to work in a fast-paced environment.
• Excellent judgment and conflict resolution skills.
• Ability to maintain confidentiality.
• Strong organizational skills.
• Ability to communicate effectively with all levels of personnel.

Benefits

• Work remotely.
• Comprehensive healthcare benefits.
• Opportunities for professional development.
• Supportive work environment.
• Competitive salary and compensation.