Medical Network Customer Care Representative
Texas Mutual Insurance Company · Austin, TX, US
15 days agoImpress employers and recruiters.
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About the Role
In the role of Medical Network Customer Care, you can play a role in these efforts by answering inbound calls and emails to assist injured workers, policyholders, agents, providers, and other partners, in locating network providers, scheduling appointments and resolving inquiries to our workers' compensation network. You would also ensure our online provider information is current through credentialing efforts and audits.
Responsibilities
- Answer phone calls and emails from injured workers, policyholders, agents, providers, and other partners and resolve moderately complex to complex inquiries related to our workers’ compensation network.
- Use online systems to locate in-network providers, schedule appointments, and approve requests for out of network treatment.
- Send notification letters to customers when coverage changes occur.
- Enter complaints for network grievances into internal database.
- Manage credentialing of medical providers or groups for participation in our network.
- Update our network's online provider directory with physician photos and biographies.
Requirements
- High school diploma or equivalent
- At least two years of related work experience
- Minimum typing speed of 40 words per minute
Skills
- Bilingual fluency in English and Spanish
Location
- Texas residency required
Work Type
- Flex-Hybrid Work Environment
Experience Level
- At least two years of related work experience
Education Level
- High school diploma or equivalent
Salary/Compensations
- $22.98 - $28.39 Per Hour
Benefits
- Annual performance bonus and merit-based pay increase
- Lifestyle Savings Account ($1,000 per year)
- Automatic 4% employer contribution to retirement plan
- 401k plan with 100% employer match up to 6%
- Student loan repayment matching in 401k plan
- Three weeks’ time off for vacation
- Nine paid holidays and two personal days each year
- Day one health, Rx, vision and dental insurance
- Life and disability insurance
- Flexible spending account
- Pet insurance and pet Rx discounts
- Free on-site gym, fitness classes, and health and wellness resources
- Free identity theft protection
- Free student loan repayment and refinancing consultation
- Professional development and tuition reimbursement
- Employee referral bonus
- Free onsite snacks
About the Company
- Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect.
- At Texas Mutual, we're working to create a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to excel, and giving back to our communities.
Equal Opportunity
- All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.