Roles & responsibilities:

• Handle inbound/outbound provider calls for voice support

• Address all queries from Providers (Eligibility and Benefits, claim status, Authorization, other inquiring pertaining to the account of the Member) supported by the business.

• Understand the Account's Business Strategy and managed care direction.

• Utilize and be familiar with current system functions, applications and enhancements.

• Additional responsibilities include development and training of self and co-workers.

• Suggest and shares ideas for system improvements.

• Experiments with and accepts new ideas in a positive and timely manner

• The Healthcare Associate must achieve and maintain the Account's Key Performance Measures.

• Provide exceptional customer service to callers over the phone.

• Maintain a high level of professionalism towards peers at all times.

• Abide by and be familiar with all the policies and procedures set forth by the client, the company and the program.

• Adhere to schedule and changes as advised by the Immediate Supervisor.

• Perform tasks in an efficient and effective manner with regard to the delivery of service requirements by the client, project or company.

The above statements are intended to indicate the general nature and level of work being performed by employees within this classification.

They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.

Employees in this job may perform other duties as assigned.