Healthcare Precertification Specialist - Opportunity to Make a Difference

261 business day contract. MUST Live in SE Michigan area.

Anticipated work hours are between 8:00a.m. - 8:00p.m. (schedule includes rotating Saturdays, holidays and overtime as needed.)

Required Skills and Experience:
- Medical Terminology or medical background such as nursing assistant/tech or doctor office experience
- Customer Service experience
- Exceptional phone skills
- Administrative/PC skills

Highly preferred:
-  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 BCBSM areas and vendors as needed