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HP Call Center Eligibility Spc

Company: Cook Children's Health Care System
Location: Fort Worth
Posted on: November 11, 2019

Job Description:

Working under the direction of the Membership Data & Reporting Manager, is responsible for research requests for eligibility status/outcomes from health plan staff, Provider offices and Regulatory agencies in a timely and professional manner. Identifies trends regarding issues with Member records and communicates them to Manager for research and resolution. Operates in a fast-paced, production environment and takes ownership of their work product by understanding the value of timely and accurate eligibility research and system updates. This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities and activities may change at any time with or without notice. The Call Center Specialist will maximize the effectiveness of the staff by ensuring that representatives have a thorough knowledge and understanding of all CCHP Programs and can effectively use closing skills, troubleshoot, resolve problems and provide a positive customer experience.

Required Qualifications:

* Minimum High School Diploma

* Familiar with Eligibility rules and guidelines within Managed Care Programs

* 1 year experience in health care setting

* 2 years' experience working with data analysis and research. Will substitute for 1 year working within Cook Children's Health Plan handling eligibility verification and research

* Required to work independently, manage multiple activities with competing timelines and demonstrated ability to make appropriate and accurate decisions Preferred Qualifications:

* Data Analysis experience

* Fast and Accurate data entry

* Knowledge of state Managed Care Programs highly desired

* Able to work in a diverse environment and maintain cultural sensitivity

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

Keywords: Cook Children's Health Care System, Fort Worth , HP Call Center Eligibility Spc, Other , Fort Worth, Texas

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