Tanisha Systems, Inc ยท 3 days ago
Customer Service Representative
Tanisha Systems, Inc is seeking a Customer Service Representative to assist health care providers and members with various inquiries. The role involves answering incoming calls, gathering clinical information, and coordinating care with clinical teams.
Information TechnologyMobileSoftware
Responsibilities
Focus on one call resolution, navigating through complex computer systems to identify the status of the request and provide appropriate response to caller
Deliver information and answer questions in a confident manner to facilitate positive outcomes with the providers and members we serve
Complete thorough documentation of call interactions with real time talking and typing
Serve as a resource or Subject Matter Expert for team members or internal customers
Make outbound calls to families who have a child with Autism to discuss provider referrals and behavioral health needs
Data collection from providers, inputting information into multiple documentation systems
Contact providers to clarify information, review benefits and authorizations, and assist with care coordination
Coordinate information to clinical team partners
Triage submission of clinical information, set up cases to improve timely review, and complete administrative follow-ups on cases
Qualification
Required
High School Diploma/ GED or higher
2 years of healthcare experience
2 years of call center experience
1 year of work from home experience
Internet speed of 30 mbps download and upload
Preferred
Experience working within a medical/behavioral setting (e.g. hospital, managed care organization, or joint medical/behavioral outpatient practice)
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Working knowledge of community-based resources and services