Job Description
**Job Summary**
Review and process MGCC case requests, which include opening new cases, providing claims status and requesting required information for claims processing from customers, business units, agents and providers.
**Key responsibilities**
- Open new Interco and MGCC cases for both assistance and cost containment requests, set them up for success in a timely manner and in accordance to established workflow guidelines.
- Review, enter and update documentation into the computer system/databases such as provider invoices, UB, HCFA, vendor information and payment approvals for claims processing.
- Place outbound calls to customers, providers, business units and agents to obtain information required for claims processing.
- Respond to inter-departmental inquiries.
- Conduct administrative/logístical maintenance of case requirements. Be available to work in office or home depending on operations need.
**What you do**
Review and process MGCC case requests, ...
Review and process MGCC case requests, which include opening new cases, providing claims status and requesting required information for claims processing from customers, business units, agents and providers.
**Key responsibilities**
- Open new Interco and MGCC cases for both assistance and cost containment requests, set them up for success in a timely manner and in accordance to established workflow guidelines.
- Review, enter and update documentation into the computer system/databases such as provider invoices, UB, HCFA, vendor information and payment approvals for claims processing.
- Place outbound calls to customers, providers, business units and agents to obtain information required for claims processing.
- Respond to inter-departmental inquiries.
- Conduct administrative/logístical maintenance of case requirements. Be available to work in office or home depending on operations need.
**What you do**
Review and process MGCC case requests, ...
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