CenterWatch

18 days old

Customer Service- CA 91320

Kelly Services
Newbury Park, CA 91320
Kelly Services has an exciting opportunity with one of our top clients for a **Customer Service Utilization Management Rep** located in Newbury Park, CA.



This is a long-term contract that has potential for perm placement.



Pay Rate $19.00 per hour



Work hours: 8:30am-5:00pm



**SUMMARY:** Responsible for coordinating cases for pre-certification and prior authorization review.



**MAJOR JOB DUTIES AND RESPONSIBILITIES** : Primary duties may includes, but are not limited:




+ Managing incoming calls or incoming post services claims work.

+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient pre-certification, prior authorization, and post service requests.

+ Refers cases requiring clinical review to a Nurse reviewer.

+ Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.

+ Responds to telephone and written inquiries from clients, providers and in-house departments.

+ Conducts clinical screening process.

+ Authorizes initial set of sessions to provider.

+ Checks benefits for facility based treatment.

+ Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.





**EDUCATION/EXPERIENCE:**




+ Requires High school diploma or GED.

+ 1 year of call-center experience required.

+ Proficient analytical, written and oral communication skills; or any combination of education and experience, which would provide an equivalent background.

+ Medical terminology training and experience in medical or insurance field preferred.

+ Excellent customer service skills.

+ Strong communication skills both written and verbal, medical coding.





**Why Kelly?**



As a Kelly Services candidate you will have access to numerous perks, including:




+ Exposure to a variety of career opportunities as a result of our expansive network of client companies

+ Career guides, information and tools to help you successfully position yourself throughout every stage of your career

+ Access to more than 3,000 online training courses through our Kelly Learning Center

+ Weekly pay and service bonus plans

+ Group- rate insurance options available immediately upon hire

+ ( _Available for purchase and administered by a designated third-party vendor_

+ _If you are interested in this opportunity, please apply now!_



Please note - this position is being recruited not by your local branch office. You can apply directly to this posting or by emailing your resume to mila.rusu@kellyservices.com





\#MD2019




**Why Kelly** **** **?**



As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping
you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the nearly 500,000 people we employ
each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.




**About Kelly** ****



At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a
leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable
a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety
of workstyles, skill levels, and industries around the world.


Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females,
individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.
Posted: 2019-10-30 Expires: 2019-11-30

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Customer Service- CA 91320

Kelly Services
Newbury Park, CA 91320

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