• Create authorizations in QNXT to support continuity of care for member.
• Screen incoming forms using targeted intervention business rules and processes to identify needed medical services.
• Make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan.
• Coordinate and arrange for health care service delivery under the direction of nurse or medical director.
• Utilize critical thinking to identify opportunities for the patient to utilize participating providers and services.
• Assist with authorization creation.
• Appointment scheduling, outreach to members, and referral follow up.

• 1-2+ years call center experience.
• Preferred strong customer service skills.
• Strong problem-solving and analytical skills.
• Possess strong computer navigation skills.
• Comfortable with regular feedback and development.
• Works well in a team environment.
• Must have basic medical terminology experience
• Verifiable High School diploma or GED is required

Choice One Staffing Group offers medical, holiday pay, vacation pay, referral bonuses and pre-employment preparation. Choice One Staffing Group, Inc. is an equal opportunity employer that prohibits employment discrimination based on race, color, religion, sex, national origin and ancestry, individuals who are 40 years of age and older or qualified individuals with disabilities.