ModivCare Hiring For Exceptions Specialist at Greenville, SC  Full Time

• Ensures accurate trip data input and resolution as it relates to the service guidelines
  Observes and advises management team on issues relating to customer service and the exceptions process
• Researches and resolves work that requires further action (e.g. benefit utilization issues, verification, waivers, urgent trip requests, pre-authorization, process denials, eligibility, mileage validation, meals & lodging, level of service exceptions).
  Manages the denial and appeal process
• Processes faxes, mail, email and web requests (inbound and outbound)
  Oversees the department’s phone activity (inbound and outbound) for quality and efficiency
• Investigates all issues to confirm the actual utilization
• Reports to management the need to address abusive or fraudulent situations
• Report Member Experience dissatisfaction to appropriate team members and/or management.
• Provide outreach regarding members, transportation, education and other subjects as needed to medical facilities
• Additional duties as assigned including assisting and performing functions for other departments

REQUIREMENTS
Education

• High School Graduate or General Education Degree (GED)

Experience

• 2 to 5 years contact center customer service experience is strongly preferred

Skills

• Excellent customer service and people skills and must be able to work independently or with a team
• Ability to quickly learn new technology and processes
• Must be able to understand and follow complex instructions
• Read, write and understand English fluently

We value our team members and realize the importance of benefits for you and your family.
ModivCare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post –Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!!)

Salary: $14.33
ModivCare is an Equal Opportunity Employer.
 
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled