Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!
Modivcare is looking for an experienced Exception Specialist to join our team. This position is responsible for the accurate fulfillment and approval of transportation service requests and reservations before and/or after transportation has taken place. This role uses internal and external resources and conducts outreach to members, facilities, clients, and other parties to ensure requests are accurately processed and resolved.
This role…
Ensures accurate trip data input and resolution in accordance with service guidelines.
Observes and advises the management team on issues related to customer service and the exceptions process.
Researches and resolves requests requiring additional action, including benefit utilization issues, verification, waivers, urgent trip requests, pre-authorization, process denials, eligibility, mileage validation, meals and lodging, and level of service.
Manages the denial and appeal process.
Processes inbound and outbound fax, mail, email, and web requests.
Oversees the department’s inbound and outbound phone activity to support quality and efficiency.
Investigates issues to confirm actual utilization.
Identifies and monitors utilization and billing trends that may indicate abusive practices.
Reports potentially abusive or fraudulent situations to management for appropriate action.
Reports member dissatisfaction to appropriate team members and/or management.
Conducts outreach to medical facilities regarding members, transportation, education, and other relevant topics as needed.
Participates in other projects or performs other duties as assigned.
We are interested in speaking with individuals with the following…
High School Diploma required.
Zero (0) plus years of experience.
Or equivalent combination of education and/or experience.
Excellent customer service and interpersonal skills.
Ability to work independently or as part of a team.
Ability to quickly learn new technologies and processes.
Ability to understand and follow complex instructions.
Ability to read, write, and understand English fluently.
Salary: $16 - $17/hr
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job.
Extended periods of sitting; frequent telephone, headset, and computer use; data entry; occasional standing and walking; lifting up to 10 lbs.
Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.
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!)
Modivcare is an Equal Opportunity Employer.
- EEO is The Law - click here for more information
- Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
- We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at [email protected]
Skills Required
- High School Diploma
- 0+ years of experience or equivalent combination of education and/or experience
- Excellent customer service and interpersonal skills
- Ability to work independently or as part of a team
- Ability to quickly learn new technologies and processes
- Ability to understand and follow complex instructions
- Ability to read, write, and understand English fluently
What We Do
Modivcare is leading the transformation to better connect people with care, wherever they are. We serve the most underserved by facilitating non-emergency medical transportation, monitoring, and personal and home care to enable greater access to care, reduce costs, and improve outcomes. We believe social and economic factors such as where you live, work or learn should never be a barrier to care. These factors, known as the social determinants of health, lead to inequities in our healthcare system and it’s our mission to close that gap by making connections to care. To make a world of difference, one member at a time. That’s what drives us.
Why Work With Us
We work with a range of clients: public and private payers, health systems, hospitals and universities. All united in purpose to better connect people with care. If you want your work to positively impact the lives of others, we want to hear from you.
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