MEMBER ADVOCATE-WI

Southeastrans, Inc.

GA

JOB DETAILS
SKILLS
Analysis Skills, Computer Skills, Computer Systems, Customer Service Software, Detail Oriented, Medicaid, Negotiation Skills, Organizational Skills, Schedule Development, Team Player, Telephone Skills, Time Management
LOCATION
GA
POSTED
1 day ago

LOCATION: ON-SITE in the State of Wisconsin

POSITION CONTINGENT UPON AWARD OF CONTRACT

SUMMARY:Answer phones to respond to discharge orders, ride requests, customer inquiries, questions, and complaints. Project a professional company image through phone interaction.

ESSENTIAL FUNCTIONS:

  • Answersphones for Medicaid eligible requests for non-emergency discharges, ride requests, and dispatch estimated time of arrivals.
  • Placesorders incomputersystem.
  • Providesinformation forprovider, along with projected service times.
  • Transferscalls toappropriate regionalteam members.
  • Identifies, researches, and resolvesissues using the computer system.
  • Follows-up on customerinquiriesnotimmediatelyresolved.
  • Completescall logs and reports.
  • Organizes, plans,andoptimizesdaily trip route assignments in a cost effective and efficient manner.
  • Providessupport to other company departments and officesregardingtripassignment.
  • Ensuresshort- and long-rangeplanning is performed toidentifytrips that require eligibility verification.
  • Answers telephones,handlescalls, routes toappropriateindividual or takes messages. Ensurescustomers,vendorsand employees are handled in a professional and courteous manner.
  • Followscompany policies and procedures
  • Performsother duties as assigned.

REQUIRED SKILLS AND ABILITIES

  • Previousmember advocateexperience.
  • Ability to read andcomprehendsimple instructions, short correspondence, and memos.
  • Ability to analyze schedules and assign resources appropriately,efficientlyand cost effectively.
  • Mustpossessgood organizational skills, attention to detail, and ability to focus on assigned tasks.
  • Must be able to work collaboratively with internal departments and external facilities/providers todeterminebest practices for ongoing quality satisfaction.
  • Excellent time management skills.
  • Excellent Negotiation skills.
  • Computer literate with the ability to learn customer service software applications.
  • Work requires willingness toworka flexible schedule.

QUALIFICATION

  • High school diploma or equivalent.

About the Company

S

Southeastrans, Inc.