Ref No.: 18-00587
Location: Dublin, Ohio
Position Type:Full Time/Contract
Start Date / End Date: 01/24/2018 to 05/17/2018
HEDIS Project
Business Casual
Wants to do interviews week of Feb 5th TBD

Incoming Health Cases
Role Desc:
Reviewing a fax that is received & has been attached to the case
Comparing the fax request to what is in CGX proprietary system
Changing the case to approved
Call/Fax the agency and give authorization
Document the call in CGX
Close the case


Triage all incoming authorizations, coordinate authorizations with Healthcare Finder, nurse, and monitor authorizations; Identify and direct beneficiaries to the most appropriate, cost effective medical care; Processes request for authorization according. Excellent communication skills; Commitment to offering quality service to internal and external customers; Ability to respond quickly and proactively to customer queries; Demonstrated teamwork through flexibility and reliability; superior customer service skills; Ability to adapt to varied situation and exercise sound judgment Minimum HS Diploma, post secondary or equivalent call center experience, or equivalent required; Call center experience may be required; Attention to detail; Proven ability to quickly learn new systems and processes; 6 plus years experience.