Excellus Health Plan Inc.
Latham, NY, USA
Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipment. Essential Accountabilities: Level I Facilitates inbound and outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center environment. Responds to customers in a professional, efficient manner to encourage public acceptance of products, services, and policies. Perform triage for UM Services. Serves as the primary contact for providers regarding authorization requests. Contacts members and providers concerning regulatory...