Remote with onsite/virtual training. Work from home position after training completion
Position Summary:
This position will be responsible for daily member telephone calls which will include directing members to the proper services needed educating members problem solving and creating linkages to the Medical Management Department for authorization of services. Also may be responsible for assisting providers with eligibility benefit and resolution of claims issues.
Essential Functions and Responsibilities:
1. Meet the Department standard of calls answered and call documentation entered.
2. Assist Members and Providers with questions and concerns.
3. Ongoing member education.
4. Responsible for all benefits information given to Members and Providers.
5. Participate in Departmental Projects as appropriate.
6. Coordinate quality improvement initiatives with Medical Management Provider Relations and Quality Depts. i.e. Preventative Health Screenings.
7. Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.
Health systemwide profile standards
About Our Company Lids Sports Group is the largest licensed sports retailer in North America, selling fan and fashion-oriented headwear and apparel across the US, Canada, Mexico, Europe, and Australia. Operating out of Indianapolis, IN, our retail stores offer officially...
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