Excellus BCBS

Excellus BCBS

Utilization Management Services Rep I

Rochester, New York, United States of America

Sponsorship not specifiedDetected 64 days ago
Outbound SalesRecruitingCustomer SupportResearchCommunicationProblem SolvingMentoringOrganizational SkillsMicrosoft Office

About the role

  • Serves as the primary contact for providers regarding authorization requests.
  • Provides timely response to all research inquiries from other departments and assures the response is thorough, accurate, and within regulatory timeframes.
  • Processes fax requests from the designated fax and system queues.

Responsibilities

  • Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service.
  • Perform triage for UM Services.
  • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

Requirements

  • Experience with using a desktop computer in a professional environment, preferably with Microsoft Office Products.
  • Strong written and verbal communication skills and ability to work within a team.
  • Demonstrates proficiency in basic navigation and utilization of department specific applications.
  • Regular and reliable attendance is expected and required.

Nice to have

  • Call center experience preferred, not required.

Compensation

  • N3 - Min $20.00 Max $26.90 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position.
  • Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity.
  • The posted salary range reflects just one component of our total rewards package.
  • Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team.
  • This decision is made on a case-by-case basis.
  • One I.D.E.A. One you.

Benefits

  • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.

Company info

  • 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.

Equal opportunity

  • Employer Compensation Range(s): N3 - Min $20.00 Max $26.90 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position.
  • Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity.
  • The posted salary range reflects just one component of our total rewards package.
  • Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.
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This listing is sourced directly from Excellus BCBS's careers page and normalized into a canonical job model.