**Duties and Responsibilities:**

+ Provides excellent quality customer service to our members and/or providers relating to authorization updates, questions/issues such as coordinating care, DME outreach, scheduling appointments, and screen assessments to identify risk factors which need closer intervention
+ Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans
+ Manage requests from members, providers, call centers and care management teams regarding initial authorizations, authorization updates and/or corrections
+ Complete member and provider notification calls
+ Escalates calls to appropriate departments which may include but is not limited to inbound/outbound calls on behalf of Care Managers
+ Manages a large volume of tasks and caseloads from multiple queues
+ Meets/Exceeds all performance, quality and productivity measures
+ Builds sustainable relationships of trust through open and interactive ...