This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquires from members, and supporting the clinicians in the Medical Management department with their provider and member activities.
•1 year of college and 2 years experience with automated systems OR 3 years experience with automated systems.
•1 year experience with managed care system(s) or medical systems (i.e.; hospital or doctor office).
•Experience coordinating member needs, providing assistance to members, and analyzing member needs.
•Knowledge of medical terminology.
•Knowledge of medical claims systems.
•PC proficiency including Microsoft Office applications.
•Customer service skills.
•Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills to educate members on medical issues.
PREFERRED JOB REQUIREMENTS:
•College courses in computer science or the medical field.
Position is located in Richardson, TX
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements: Expertise Claims & Customer Service Job Type Full-Time Regular Location TX - Richardson
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