Health Insurance Precertification Specialist - Detroit, United States - G-TECH Services, Inc.

Description

Job Description

Job Description

Remote but must live in SE Michigan area. One year contract - may be extended.

POSITION IS 100% REMOTE.
LOCAL CANDIDATES ONLY - contactor must be of a reasonable proximity to a BCBSM office for IT support as needed
Anticipated work hours are between 8:00a.m. - 8:00p.m. (Rotating Saturdays, holidays, and overtime as needed)

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
- Act as members first trusted source for WCM programs
- Schedule appointments between the member and coach in appropriate systems
- Assign referrals to designated staff
- Process requests for compliance inquiries

Company DescriptionG-TECH Services, Inc. is a leading certified recruitment and placement firm that specializes in providing highly skilled staff in technical fields such as engineering, IT, procurement, finance and accounting. We have well-established relationships with some of the most respected companies in the country and know our clients' job requirements and corporate cultures. Once we understand your experience and career aspirations, we aim to connect you with the right opportunity.

Company Description

G-TECH Services, Inc. is a leading certified recruitment and placement firm that specializes in providing highly skilled staff in technical fields such as engineering, IT, procurement, finance and accounting. We have well-established relationships with some of the most respected companies in the country and know our clients' job requirements and corporate cultures. Once we understand your experience and career aspirations, we aim to connect you with the right opportunity.