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January 22 2018

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Scheduler

MedixMission Viejo, CA1/13/2018
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Job Description


Essential Functions:

* Handles intake of multiple phone lines using established scripts, protocols and service processes.
* Responds to each call in an efficient, effective, and professional manner.
* Accurately tracks and enters calls using appropriate documentation, reporting, and database applications.
* Providing status of HMO referrals
* Requesting modifications and/or extensions to authorizations
* Taking Messages/Transferring calls
* Verify eligibility
* Assisting members with connecting to patient portal
* Resetting passwords for patient portal accounts
* Assists with maintaining department databases and resource tools.
* Notifies members of urgent approvals and denials within appropriate time frames, per guidelines set.
* Coordinates communication and patient services with Utilization Management Team.
* Functions as a liaison between internal departments and members regarding referral status, authorizations, eligibility, patient portal registration, physician information, and complaint resolution.
* Interacts with multiple departments, e.g., Resource Management, I.S., Provider Relations, Utilization Management, Claims, and Eligibility to provide resolution to patient and health plan/vendor enquiries.
* Understands and uses proper procedures to resolve problems, escalate issues, and achieve objectives in a productive and cooperative manner.
* Provides timely feedback about processes to improve caller practices and satisfaction.
* Supports overall department operations through cooperation and teamwork.

Job Requirements

Essential Functions:

• Handles intake of multiple phone lines using established scripts, protocols and service processes.
• Responds to each call in an efficient, effective, and professional manner.
• Accurately tracks and enters calls using appropriate documentation, reporting, and database applications.
• Providing status of HMO referrals
• Requesting modifications and/or extensions to authorizations
• Taking Messages/Transferring calls
• Verify eligibility
• Assisting members with connecting to patient portal
• Resetting passwords for patient portal accounts
• Assists with maintaining department databases and resource tools.
• Notifies members of urgent approvals and denials within appropriate time frames, per guidelines set.
• Coordinates communication and patient services with Utilization Management Team.
• Functions as a liaison between internal departments and members regarding referral status, authorizations, eligibility, patient portal registration, physician information, and complaint resolution.
• Interacts with multiple departments, e.g., Resource Management, I.S., Provider Relations, Utilization Management, Claims, and Eligibility to provide resolution to patient and health plan/vendor enquiries.
• Understands and uses proper procedures to resolve problems, escalate issues, and achieve objectives in a productive and cooperative manner.
• Provides timely feedback about processes to improve caller practices and satisfaction.
• Supports overall department operations through cooperation and teamwork.

Job Snapshot

Employment Type Full-Time
Job Type Customer Service
Education High School
practice Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID 62522

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Company Overview



Medix
Navigating the job search in the Healthcare industry to find the right opportunity for you can be a challenge. At Medix, we are passionate about positively impacting your job search by thoroughly knowledge your expertise, aptitudes and aspirations while ensuring you are matched to a Healthcare opportunity that fits your goals. Medix's Healthcare division is your trusted partner who cares about your success and is committed to finding your perfect position located on your strengths and ambitions.
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Contact Information

Mission Viejo, CAMedixPhone: 949-936-2959
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Skills:

Job Category: Customer Service [ View All Customer Service Jobs ]
Language requirements:
Employment type:
Salary: Unspecified
Degree: Unspecified
Experience (year): Unspecified
Job Location: Other
Company Type Employer
Post Date: 01/13/2018 / Viewed 7 times
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