Customer Experience Associate- HMSA (Remote, must reputed company in Hawaii)
Job title: Customer Experience Associate- HMSA (Remote, must reputed company in Hawaii) in Ewa Beach, HI at reputed company
Company: reputed company
Job description: Customer reputed company role supporting our members and providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls reputed company to reputed company reputed company benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers’ needs on the reputed company. Performance expectations are to meet and/or exceed customers’ expectations and our quality standards.
- Researches, articulately communicates medical information regarding a variety of services including: educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI.).
- Meets key performance indicators and service standards while showing compassion to members and providers per Magellan’s values and mission.
- Identifies and responds to crisis calls with appropriate resource.
- Facilitates routine referrals and triage reputed company not requiring clinical judgment.
- Comprehensively assembles and enters patient information into the appropriate delivery system.
- Demonstrates flexibility in areas such as job duties and schedule to aid in reputed company serving members and help Magellan reputed company its business and operational goals.
- Supports team members and participate in activities to help build a high-performance team.
- Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).
- Responsible for staying abreast of operational changes, updating self to ensure accuracy.
- Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
- Leads or participates in activities as requested that help improve Care Center performance, quality, and culture.
- Navigate Magellan’s systems, document customers' comments/information and forwards required information.
- Responsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information.