Call Center Representative

posted:
Location
Indianapolis, Indiana
Industry
Customer Service & Call Center (Office and Administrative Support Occupations)
Job Type
Temp to Perm
Working Hours
11:30 AM - 8:00 PM
Salary
US$ 15.00 per hour
Ref. Number
S_29763
Contact
Ford, Amber, Spherion
Phone
317-870-5555
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Job Description

As a Utilization Management Representative placed with Spherion, you will be responsible for coordinating cases for precertification and prior authorization review. Our client's fast-paced, team-oriented environment is the perfect place to take your career to the next level!

Responsibilities:
- Responsible for coordinating cases for precertification and prior authorization review.
- Managing incoming calls or incoming post services claims work.
- Determine contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service request.
- Refers cases requiring clinical review to a Nurse reviewer.
- Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
- Responds to telephone and written inquiries from clients, providers and in-house departments.
- Conducts clinical screening process.
- Authorizes initial set of sessions to provider.
- Checks benefits for facility based treatment.
- Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer request and questions are handled appropriately and in a timely manner.
- Other duties as assigned.

Working hours: 11:30 AM - 8:00 PM

Skills:
- Proficient analytical, written and oral communication skills
- Customer service focus
- 50 wpm typing ability

Education:
High School

Experience:
1-4 years

Qualifications:
- High School Diploma
- 2 years of inbound call center experience required
- Medical terminology training and experience in medical insurance field strongly preferred

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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