Glendale, California
ACO Provider Relations Representative Job Opening in Glendale, California - Coordination and support for administrative related activities for Executive team and support needed for various Departments (Credentialing, Billing, ACO). Overall position description with general areas of responsibilities listed but not limited to:
Intercept calls from Providers and Members to assist with Healthcare Management Organization (HMO) inquiries.
Responsibilities
Incoming calls
Direct complex Provider calls to appropriate Provider Service Representative.
Re-direct complex Member inquiries to Management Service Company?Prospect.
Assist Providers and Members with simple HMO inquiries:
Referrals, Claims , Provider portal access
Transportation
Expedite time sensitive issues to Customer Service Lead.
Ongoing Outbound Calls
CSRs contact members directly for the following; Exit Survey ll. Members Unassigned
Special Call Projects
Repatriation
Invites/RSVPs to Health Fairs, Office Manager Forums, etc.
Audits for compliance adherence
Document all incoming/outbound calls in Software Programs being used.
Attend all training programs for operating systems.
Coordinate lunch breaks to maintain call center coverage at all times.
Provide relief/coverage for the corporate administrative assistant during lunch and break periods.
Cell Phone use is not prohibited during work hours.
All other job related duties as it relates to the job function or as delegated by the management team.
Maintains and keeps in total confidence, all files, documents and records that pertain to the operation of MMG.
Job Type: Full-time
Required experience:
ACO: 1 year
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