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Form of workAdventist 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
The estimated base pay for this position is $13.14 - $19.69. Additional individual compensation may be available for this role through years of experience, differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.
