Estimated Length: 24 months 9am-5pm M-FPosition Description:The positions are located within client, Bureau of Medical Review Call Center and Administrative Staff Support unit. These positions have multiple responsibilities including, but not limited to:Answering telephone inquiries from healthcare providers, members caregivers and advocacy groups related to prior approval of medical services such as durable medical equipment, medical supplies, hearing aids, private duty nursing and out of state inquiries involving nursing home placement and other out of state procedures.Escalating complex inquires that cannot be answered with available information to appropriate staffGuiding and educating providers, as well as members, on where to locate pertinent policy information Assisting providers to troubleshoot our prior approval system(s)Performing data entry into excel spreadsheets and other tracking toolsMonitoring incoming emails and/or faxes from a shared mailbox and forward to the appropriate staff.Sending faxes through e-mail supported fax mailboxDistributing fair hearing request and decisions to appropriate staffProcessing change request forms according to defined procedureSupporting claims processing when other duties are finishedMaintaining a positive and professional demeanor alwaysAll other activities as may be deemed necessaryAdditional Skill Level, Experience or Other Requirements:High School Graduate or EquivalentExperience with Microsoft Word and with Basic Excel functionsProficient in the use of standard office technology, to include fax machines, document scanners and copiersAbility to be flexible, innovative, and work in a team environment6 positions (Call Center/Bureau of Medical Review) Position Description:The positions are located within client, Bureau of Medical Review Pended Claims unit and Administrative Staff Support unit. These positions have multiple responsibilities including, but not limited to:Review medical claims according to written proceduresEscalate issues & complex claimsAnswer phones and transfer to the appropriate staffEducate providers on billing processesEducate providers on where to locate resourcesMaintain database for tracking purposesData EntryProficient in the use of several data basesFile and maintain documentsFax, scan and copy documentsMonitor incoming emails from a shared mailbox and forward to the appropriate staffMaintain a positive, profession demeanor alwaysAll other activities as may be deemed necessaryAssist with special projects as assignedAdditional Skill Level, Experience or Other Requirements:High School Graduate or EquivalentExperience with Microsoft Word and ExcelProficient in the use of standard office technologyAbility to be flexible, innovative, and work in a team environmentPrevious claims experience preferred but not required

　　Minimum Salary: 15.00Maximum Salary: 16.00Salary Unit: Hourly