- Medical Terminology or medical background such as nursing assistant/tech or doctor office experience
- Customer Service experience
- Exceptional phone skills
- Administrative/PC skills
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Precertification Specialist
6 days ago
Strategic Staffing Solutions Detroit, United StatesSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING · Strategic Staffing Solutions is currently looking for a Precertification Specialist for a contract opportunity with one of our largest clients located in Detroit, MI · Title: Precertification Specialist · Location: Detroit, MI ...
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Precertification Specialist
1 week ago
Strategic Staffing Solutions Detroit, United StatesSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING · Strategic Staffing Solutions is currently looking for a Precertification Specialist for a contract opportunity with one of our largest clients located in Detroit, MI · Title: Precertification Specialist · Location: Detroit, MI (W ...
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Precertification Specialist
1 week ago
GTECH Corporation Detroit, United StatesAnticipated work hours are between 8:00a.m. - 6p.m. (overtime is not mandatory, but will be asked as needed; weekends are expected on a rotation on Saturdays) · Required Skills and Experience: · Medical Terminology or medical background such as nursing assistant/tech or doctor ...
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Precertification Specialist
4 days ago
Gtech Services Detroit, United StatesRequired Skills and Experience: · Medical Terminology or medical background such as nursing assistant/tech or doctor office experience · Formal education past high school · Customer Service experience · Exceptional phone skills · Administrative/PC skills · Highly preferred: · * P ...
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Precertification Specialist
2 weeks ago
LanceSoft Detroit, United StatesEngagement DescriptionUM MA Precertification intake specialist. Mon-Fri 8:30-5:00 · Microsoft office · Medical Terminology · Phone Queue or call center experience · Required Skills/Experience:Prior insurance experience · Ability to multitask · Customer Service · Utilization mana ...
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Precertification Specialist
3 weeks ago
Strategic Staffing Solutions Detroit, United StatesSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING · Strategic Staffing Solutions is currently looking for a Bilingual Precertification Specialist for a contract opportunity with one of our largest clients located in Detroit, MI · Title: Precertification Specialist · Location: De ...
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Bilingual Precertification Specialist
1 week ago
Strategic Staffing Solutions Detroit, MI, United StatesSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING · Strategic Staffing Solutions is currently looking for a Bilingual Precertification Specialist for a contract opportunity with one of our largest clients located in Detroit, MI · Title: Bilingual Precertification Specialist · Loca ...
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Precertification Specialist
3 weeks ago
G-TECH Services, Inc. Detroit, United States Paid WorkRequired 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 · Education: beyond high school diploma · Highly preferred: · ...
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Universal Health Services Auburn Hills, United StatesUtilization Management - Precertification Specialist HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital s a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in provi Certification, Management, Sp ...
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Utilization Management
1 week ago
UHS Auburn Hills, United StatesResponsibilities · Utilization Management - Precertification Specialist · HAVENWYCK HOSPITAL (a UHS facility) · Havenwyck Hospital s a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providin ...
Health Insurance Precertification Specialist - Detroit, United States - G-TECH Services, Inc.
Description
Job Description
Job DescriptionRemote 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:
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