**Job Title:** Temp to Perm - Non-Clinical - Customer Service Representative (Days) **Address:** Indianapolis, IN **Hours:** Day Shift: M–F, 8:00am – 5:00pm (Full Time) **Job Description:** - Responsible for daily member telephone calls, directing members to the proper services needed, educating members, problem solving, and creating linkages to the Medical Management Department for authorization of services. - May assist providers with eligibility, benefit, and resolution of claims issues. - Essential Functions and Responsibilities: - Meets the Department standard of calls answered and call documentation entered. - Assists Members and Providers with questions and concerns: - Finding Provider(s)/Services for members - Arrange Transportation for members - Answer billing/claims status questions; resolve claim issues for members - Assist with pharmacy issues - Help Members access community support services - Verify member eligibility - Quote benefits - Assist with Referrals - Assist with member health assessments - Assist members with closing gaps in care - Ongoing member education. - Responsible for all benefits information given to Members and Providers. - Participates in Departmental Projects, as appropriate. - Coordinates quality improvement initiatives with Medical Management, Provider Relations, and Quality Departments, i.e., Preventative Health Screenings. - Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole. **Critical Information:** - 1 Year experience in a customer service related role with direct contact with customers via telephone, email, chat, and/or face-to-face - Required - Must be Burmese Speaking - Required - High School Diploma - Required (proof not needed in submission) - Candidates must reside in Indianapolis, IN - Required **Education/Licenses Needed:** - Verify with a Recruiter or Staffing Manager! **Job Requirements:** - Verify with a Recruiter or Staffing Manager! This is an AI-generated job description, therefore this does not remove human decision-making.
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