Customer Service Representative (Healthcare)

w3r Consulting is seeking a Health Coordinator to support their Medical Management department. This role involves contacting members to inform them about medical management programs, conducting research, and assisting with data entry and inquiries.

Responsibilities:

• Contacting members to inform and educate them on our medical management programs
• Conducting research
• Performing data entry
• Responding to inquiries from members
• Supporting the clinicians in the Medical Management department with their provider and member activities

Requirements:

• 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)
• Experience coordinating member needs, providing assistance to members, and analyzing member needs
• Knowledge of medical terminology
• Knowledge of managed care 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
• College courses in computer science or the medical field