Answer calls from physician offices, hospitals, and patients using exemplary customer service skills.
Accurately enter required information (non-clinical and structured clinical data) into computer database.
Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes (without the need for interpretation) and follow established procedures for authorizing request or referring request for further review.
Attach incoming information to Tnav database and follow established procedures for distributing information for further review.
Ensure that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms.
Explain features, advantages and disadvantages of various policies to promote sale of insurance plans.
Explain necessary bookkeeping requirements for customer to implement and provide group insurance program.
Enrolled clients into BCBSAL services and products (Marketplace and Medicare/Medicaid)
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