Classification:  Administrative - Medical

Compensation:  $12.85 to $16.00 per hour

Resolve Application Specialist
Job Description:
This position is responsible for providing high quality client focused service by using knowledge of local, state and federal program requirements to efficiently maintain and update general applicant information, financial, medical and personal information to support client applications.

Documents and updates the system based on daily contact of select members of assigned applicant group and application evidence requirements, i.e. work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history and documentation where evidence is required.
Reviews inbox for daily work queues, identifies missing evidence and follows through to completion
Answers incoming calls from clients and Health Care Representatives
Assists callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support application process
Effectively educates and answers inquiries from patients and family representatives regarding application process
Assists clients with scheduling appointments and reminding of appointments, as needed
Maintains ongoing communication with other internal Resolve Application functions to obtain information and/or provide updates regarding claim status
Identifies and takes appropriate actions to complete and submit required financial, medical and personal information forms to support the client application process
Reviews software system for document mailings prior to applications, medical records, etc. is packaged and mailed to external sources
Receives calls and assists clients, company representatives and Healthcare Reps in resolving evidence application issues
Diligently follows-up with institutions/businesses resolving issues ultimately affecting application approval
Identifies appropriate escalation points and works with Escalation Team Leader to resolve issues
Reviews outgoing client material for accuracy prior to submittal
Complies with ethics, privacy and compliance policies and procedures

Job Requirements
High school graduate or GED required, some college preferred
Prior work experience in a healthcare environment preferred
Knowledge of application requirements and processes for SSA and DDS programs
Knowledge of medical terminology and business principles
Previous customer service experience required
Strong communication skills (verbal & written); demonstrated experience working with high volume of phone calls
Skill in identifying problems, researching and recommending resolutions
Resourceful and tenacious when faced with obstacles
Articulate phone demeanor required
Strong organization skills ability to prioritize, plan, and follow through
Ability to work independently
Ability to work collaboratively with others
Ability to maintain effective working relationships with clients, the public and business contacts
Ability to react calmly and competently when discussing medical situations with clients
Ability to perform effectively as a team member, supporting a client-focused environment
Proficient computer skills in Microsoft products: Outlook, Word, Excel and PowerPoint

OfficeTeam is the world's leader in specialized administrative staffing, offering job opportunities ranging from executive and administrative assistants to customer service representatives, receptionists and general office support. We are faster at finding our administrative professionals great job opportunities because our staffing managers connect with nearly 90,000 hiring managers in North America every single week. Additionally, we provide one of the industry's most competitive training, benefits and compensation packages. Contact us today at 1.800.804.8367 to learn why Fortune magazine just ranked us #1 in our industry on their list of America's Most Admired Companies. OfficeTeam is an Equal Opportunity Employer. Apply for this job now or contact our branch office for additional information: Office Location Information.