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WCM CCM EC Precert Specialist
Location: US-TX-Dallas
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TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: WCM/CCM EC/Precert Specialist Work Location: Detroit, MI 48243 Dept: Commercial Inpatient Pr Required Skills and Experience: -
Provide high quality, member focused servicing using knowledge of plans, products, systems, and procedures to meet or exceed member experience -
Assist in locating primary care physicians,specialists and dentists -
Thoroughly explain wellness care management program benefits to members -
Work as a team member to assist nurses in researching providers, eldercare, nursing homes -
Concisely and accurately enter documentation into Care Advance -
Effectively engage over the phone via both inbound and outbound members that qualify for our clinical programs or those who are interested in learning more about our services -
Refer and/or warm transfer to wellness and care management components and other Client areas and vendors as needed -
Process provider requests as needed -
Act as member s first trusted source for WCM programs -
TekWissen Group
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