Vacancy caducado!
Express Employment in Redding is working with Partnership Healthplan to hire for multiple openings in various departments. These are full time ONLY positions. The wages are $22.00 - $25.65 per hour depending on the department. You must apply with a resume to Express to be considered. Depending on experience, these could be immediate hires with no interview necessary.
Responsibilities include, but are not limited to:
Effectively communicate written and verbally with both members and providers
Works directly with members, transportation providers and facilities to coordinate appropriate level and timeliness of transports within the DHCS guidelines and PHC policies
Support and assist members in the resolution of problems with their transportation or travel benefits
Communicate immediate health issues to a clinical member of the Care Coordination team and assist as needed in problem resolution
Communicate non-transportation related needs to the appropriate team for assistance
Establish and maintain effective interpersonal relationships with all levels of health plan
staff, other programs, agencies and the general public
Retrieves TAR information from PHC electronic systems, phone or paper format as per policy
Verifies member’s eligibility and determines level of program benefit
Elicit medical information from provider, consulting with HS/UM Clinical Staff as appropriate
Contacts provider, verbally and/or in writing to pursue needed information
Generates administrative denial letters timely as per PHC Policy and Procedure
Working knowledge and understanding of health plan structure and program requirements
Documents all cases opened for Transportation in the appropriate platform or database, as
per protocol
Routes calls as appropriate in a courteous and professional manner from the ACD phone line in the transportation call center
Secondary Duties and Responsibilities:
Serves as departmental back-up as directed by Manager/Director
Participates in special projects and assignments as required
Required skills:
Excellent customer service
Excellent phone etiquette
Excellent typing and grammar
Excellent multi tasking
Reliable
Ability to handle high call volume
Vacancy caducado!