Eligibility Screener - Operations Support

8 hours ago

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Logo of Magellan Health

Magellan Health

1001 - 5000

πŸ’° $101M Private Equity Round on 2004-01

Description

β€’ Works with members and non-members on eligibility screenings and redetermination. β€’ Supports operations with administrative functions in various departments. β€’ Manages daily task lists for eligibility screenings in TruCare. β€’ Performs eligibility screenings for state funding programs. β€’ Helps facilitate referrals for members losing eligibility. β€’ Documents actions in a centralized record system timely. β€’ Makes recommendations for policy and procedure improvements. β€’ Submits help desk tickets for screenings or medical record issues. β€’ Demonstrates ability to meet performance metrics for calls and screenings. β€’ Assists with managing Authorization to Use and Disclose (AUD) process.

Requirements

β€’ 2+ years of relevant experience in the human services field required. β€’ Proven ability to build relationships and collaborate with providers and members. β€’ High level of accountability and responsibility for outcomes. β€’ Excellent interpersonal, verbal, and written communication skills. β€’ Strong problem-solving skills and creativity. β€’ Proficiency with Microsoft Office products and ability to quickly learn new software applications.

Benefits

β€’ Comprehensive health, life, voluntary and other benefits and perks that enhance wellbeing. β€’ Potential eligibility for short-term incentives.

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