Under minimal supervision this position is responsible for responding to referral requests generated via computer, fax or telephone. Answers all incoming calls via Automatic Call Distribution and making outbound calls to obtain demographic, referral information, verify insurance eligibility, benefits and obtain authorization as needed. Primary Responsibilities:Ability to handle 35+ calls and 15+ referrals during an 8 hour shift, facilitating a positive patient experienceMaintain 98% Accuracy on all patient documentation and referral information in patients accountObtains prior authorization and secures co-pay as defined by policyRoutes referral and patient information to the appropriate venue and notifies referral source of disposition when unable to accept referralResolves questions and problems, and refers only the most complex issues to higher levelsAdhere to all written policy and proceduresProvides mentorship to other representatives during introductory period
Requisitos: Superior completoInglês AvançadoExperiência em gestão do portfólio de produtos no que se refere a P&L, estratégias vendas, margens, posicionamento etc. Vivência na área de saúde será um diferencialSer capaz de analisar dadosDisponibilidade para atuar na Barra da Tijuca (Rio de Janeiro) ou Morumbi (São Paulo)
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.