Take inbound calls from providers in a call center environment.
Perform data entry for fax requests received from an inbound fax queue.
Perform quality check authorizations submitted through a web portal.
Assist callers to create and manage requests for medical services.
Follow processes to determine approved services that do not require a medical review.
Perform non-medical research, including eligibility verification and COB.
Protect the confidentiality of member information while adhering to company policies.