Clinical Administrative Support (CAS)

Carewise Health - Louisville, KY - Carewise Health helps organizations improve the personal health of employees and control healthcare costs. Our industry-leading health and wellness programs help members build the skills they need to achieve and sustain optimum health. Medical Bill Review ensures that health plans and self-insured employers are billed accurately for the care their members receive. Headquartered in Louisville, Ky., Carewise Health employs approximately 300 registered nurses, health coaches, clinicians, medical directors and other committed professionals. The Clinical Admin Supports primary role is to act as a source of information and guidance for inbound call inquiries for multiple clients. The hours for this position is 9:30am-6:00pm Monday - Friday. The Clinical Admin Supports primary purpose: -Be the first tier to call resolution. -Maintain compliance for incoming faxes/mail from providers and field representatives. -Required to access the appropriate systems and knowledge tool resources to resolve member inquiries at the point of contact. -Responsible for meeting and/ or exceeding client service guarantees -Maintaining designated metrics for quality standards. -Maintaining schedule adherence. ESSENTIAL FUNCTIONS (Responsibilities/Accountabilities) -Act as a Tier 1 to call resolution by completely resolving calls at the point of contact. -Document all call activity at 100%. -Process incoming/outgoing correspondence by providing timely and accurate responses to inquiries via web, telephone, email, fax or written correspondence. -Escalate critical matters when necessary. -Proficient in critical thinking and problem solving. -Responsible for meeting and/ or exceeding client service guarantees. -Maintaining designated metrics for quality standards. -Maintaining schedule adherence. -Required to complete all appropriate training related to the job function(s). -Assist with on the job training of new hires as they graduate through the classroom portion of training. -Focus on root cause analysis and elevate to Supervisor with suggestions to alleviate or improve processes -Manage voicemail and email daily. -Other duties as assigned. Carewise Health provides a generous benefits package including: Medical Insurance Dental Insurance Life Insurance Vision Insurance Paid Vacation Paid Holidays Paid Sick Days Short Term Disability Long Term Disability 401K Plan With Company Match Tuition Reimbursement Employee Assistance Program All benefits are effective on the 1st day of employment with the exception of tuition reimbursement and STD/LTD, which is effective after 90 days of employment. Attention Staffing Agencies: This position is not open for agency submittals. Any candidate submitted without HR approval will be considered an applicant of Carewise Health, not the agency. All Agency Candidates must first be submitted to HR. If you are interested in applying for employment with Carewise Health and need special assistance or an accommodation to apply for a posted position, call 1-800-492-6398 (option 1) to leave a message with your requested accommodation. EO/AA Employer: Minority/Female/Disability/Veteran REQUIREMENTS (Knowledge, Skills, Abilities) -High School Diploma or equivalent (GED) required. -Minimum of one year in a customer service call center environment. -Two years of general business experience required. -Proficient typing skills. - Proficient PC skills with experience in MS Office; Word, Excel, Outlook. -Excellent customer service skills. -Excellent oral, written and interpersonal communication skills. -Knowledge of medical terminology. -Strong organizational and time management skills are essential. -Must understand the technical working environment and associated systems and have strong problem solving skills. PHYSICAL DEMANDS & WORKING CONDITIONS (Specific statements of physical effort required and description of work environment) -Works in a well lighted/ventilated office area with some changes of temperature, as well as throughout the premises. Associate will spend majority of the time indoors. -Prolonged sitting at a computer with some standing and bending intermittently during work hours. -Is subject to frequent interruptions. -Ability to move arms, hands, and fingers to type. -Close vision required for computer monitors. #TTR recblid bz6ldo7favlvlbg8famc68x9l27gi3... - Permanent - Full-time

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