• Available to work Monday - Friday, 10:30am - 7:00pm MT
• 2 to 4 years customer relationship and phone center experience
• Proficient in data entry, Microsoft Office, and contact center-style phone systems
• Excellent customer service, written and verbal communication and interpersonal skills
• A “delight the customer” attitude
• Prior healthcare industry experience with a working knowledge of medical terminology and health benefits claim process
• Strong organizational, critical thinking and problem-solving skills
• Strong attention to detail and follow-through
• Project management-type skills; prior experience managing a high-volume caseload
• An ability to focus in a high energy atmosphere
• Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude

Desirable

• Communicate and follow-up with plan members to ensure understanding of the program while delivering exceptional customer service
• Answers the phones and responds to incoming inquiries while utilizing care center training tools
• Facilitates patients successfully through the surgery review process, exceeding expectations while meeting the program metrics
• Efficiently and effectively manages a case load across a variety of clients and surgical categories
• Coordinate the scheduling and approval process from the initial request for surgery to patient placement
• Obtain the necessary information – demographic, financial, clinical and other pertinent data to complete referral process
• Obtain medical records in a timely and accurate manner to ensure an expedited process
• Maintain and update application with current data, pertinent information, and status of cases
• Collaborate with providers, clinics and facilities, and various levels of management to effectively resolve issues. Obtain pre-authorizations
• Works effectively with other supporting operational roles and internal departments, to coordinate the member’s case
• Effectively address and resolve patient barriers to utilize the benefit including working with members to address program questions
• Maintain confidentiality and knowledge of HIPAA regulations
• Demonstrate Transcarent core values
• Comply with company policies
• Be willing and available to work overtime as needed