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Call Center Agent

Company: MAXIMUS, Inc.
Location: Brownsville
Posted on: May 13, 2019

Job Description:

MAXIMUS is a leading operator of government health and human services programs and has partnered with state, federal and local governments to provide critical, high quality health and human service programs to a diverse array of communities. Operating under MAXIMUS's founding mission of Helping Government Serve the People? since 1975, we are entirely focused on helping government agencies run programs cost-effectively and serve program constituents with improved outcomes. By being a responsible steward for government programs, we help the federal government deliver on its promises through our people, process and technology. Our focus is always on outcomes and results that connect citizens more effectively with government services. Job Description SummaryMAXIMUS is a leading operator of government health and human services programs and has partnered with state, federal and local governments to provide critical, high quality health and human service programs to a diverse array of communities. Operating under MAXIMUS's founding mission of Helping Government Serve the People? since 1975, MAXIMUS Federal Services is entirely focused on helping government agencies run programs cost-effectively and serve program constituents with improved outcomes. By being a responsible steward for government programs, we help the federal government deliver on its promises through our people, process and technology. Our focus is always on outcomes and results that connect citizens more effectively with government services.Job Summary: The Call Center Agent (CCA) must be thorough, accurate and timely when reviewing and processing care referral requests and healthcare authorization forms to the Department of Veteran Affairs (VA) Medical Centers and community health care professionals. The CCA will initiate outbound and receive inbound calls to gather pertinent information or to provide information to customers.Essential Job Duties: ?Review and process medical documentation from community providers following Veteran care and treatment. Transmit this information to the referring VA Medical Center to complete the Veterans medical record and ensure ongoing care coordination.?Work with VA Care in the community staff and community medical offices to address and resolve any incomplete information required for Veteran treatment and care. ?Protect the health care privacy of patients by strictly following HIPAA regulations. ?Follow processes of the VA program and perform all tasks in a courteous and professional manner. ?Understand and work with standard coding systems including: standard medical taxonomy, International Classification for Diseases, Current Procedural Terminology, and Health Care Common Procedure Coding System.?Work in a variety of systems to perform required tasks.?Manage prioritized tasks in a time-sensitive environment.?Initiate calls to providers medical providers to update information in their profile records?Follow processes of the Client program and perform all tasks in a courteous and professional manner. ?Research systems to find missing information; coordinate with other departments to resolve issues.?Receive calls from Veterans with a variety of questions. ?Work in a variety of technologies to perform required tasks.?Manage prioritized tasks in a time-sensitive environment.?Perform other tasks as assigned by leadership.Education and Experience Requirements:?Must have a high school diploma or G.E.D.?College-level course work in the healthcare or equivalent field a plus?Must have (1) one full year of experience working in a customer service environment.?Must have experience with data-entry related to reasonably complex information such as medical records ?Must be proficient with a computer including Microsoft Office, the Internet, and other systems.?Experience working in a healthcare environment a plus.?Experience with medical terms (including the interpretation and use of ICD and CPT codes a plusOther Requirements:?Internal candidates must be in good standing and no active written corrective actions on file.* High School Diploma with 0-2 years of experience.* May have additional training or education in area of specialization.* Works on assignments that are routine in nature, with responsibilities easily learned on the job.* Acquires job skills and learns applicable policies and procedures to complete routine tasks.* Able to read, understand & perform assignments within prescribed guidelines.* Communicates routine information in a clear and accurate way with internal & external contacts.EEO StatementEEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Keywords: MAXIMUS, Inc., Brownsville , Call Center Agent, Sales , Brownsville, Texas

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