Sr. Customer Care Associate, Home Health, Full Time
Company: Adventist Health NW
Posted on: November 22, 2021
Adventist Health is more than an award-winning health system. We
provide whole-person care to our communities and champion the
greater good - from the operating room to the boardroom, we are
driven by our unique passion to live God's love through health,
wholeness and hope. From Oregon to Oahu, we have a calling to
always do more. Now is your chance to apply your passion to our
mission. We're looking for someone to join our team as a Sr.
Customer Care Associate (Home Health) who: Provides day-to-day
administrative support for the Home Health patients and department.
Essential Functions: * Handles incoming calls from plan members and
healthcare providers for the assigned health plans. Provides
information as needed for questions related to medical, dental,
vision, and prescription drug claims based upon the benefit
descriptions and plan provisions of a variety of group plans.
Documents all calls. * Receives referrals and pre-certification
requests from providers as applicable. Reviews
referral/pre-certifications for proper benefits and eligibility.
Enters referrals and pre-certifications data into the computer
system. Reviews referrals and medical record information as
applicable to facilitate claims department with claims
adjudication. Researches and documents rejected or erroneous claims
and forwards them for correction as needed. * Performs other
job-related duties as assigned. You'll be successful with the
following qualifications: Education: * High School Education/GED or
equivalent: Preferred * Associate's / Technical Degree or
equivalent combination of education/related experience: Preferred
Work Experience: * Two years relevant experience: Preferred
Adventist Health is committed to the safety and wellbeing of our
associates and patients. Therefore, we require that all associates
receive all required vaccinations, including, but not limited to,
measles, mumps, flu (based on the seasonal availability of the flu
vaccine typically during October-March each year), COVID-19 vaccine
(required in CA, HI and OR) etc., as a condition of employment, and
annually thereafter. Medical and religious exemptions may
Keywords: Adventist Health NW, Portland , Sr. Customer Care Associate, Home Health, Full Time, Healthcare , Portland, Oregon
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