Medical Precertification Specialist

Long term renewable contract- REMOTE! But MUST LIVE in SE MICHIGAN.

Most important things for this role:

- Associate degree is ideal.

Call center background

High level typing speed

medical terminology

Front end intake experience at a doctor's office

Working with an authorizations system.

Will be handing 30-45 calls per day 

Hours are 8:0-5:00 EST, 1 hour lunch- noon- 1 p.m.

2 months of training- chance of extension.

Required Skills and Experience:
- Medical Terminology or medical background such as nursing assistant/tech or doctor office experience
- Customer Service experience
- Exceptional phone skills
- Administrative/PC skills

Highly preferred:
-  Provide high quality, member focused servicing using knowledge of plans, products, systems, and procedures to meet or exceed member experience
-  Assist in locating primary care physicians, specialists and dentists
-  Thoroughly explain wellness care management program benefits to members
-  Work as a team member to assist nurses in researching providers, eldercare, nursing homes
-  Concisely and accurately enter documentation into Care Advance
-  Effectively engage over the phone via both inbound and outbound members that qualify for our clinical programs or those who are interested in learning more about our services
-  Refer and/or warm transfer to wellness and care management components and other BCBSM areas and vendors as needed
-  Process provider requests as needed