<p>Qualifications you'll bring:</p> <p>High school diploma Two years' experience in health insurance, medical, or healthcare field One year customer service experience The availability to work full-time, 3 days during the week and weekends required, virtually within NYS. Knowledge of Microsoft Outlook and Word Intermediate computer/keyboarding skills Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction</p> <p>Your key responsibilities:</p> <p>Handle service requests and correspondences from providers, facilities, enrollees, or their representatives via phone, fax, email, and postal mail. Review and interpret authorization requirements based on MVP contracts, riders, resources, policies, and procedures. Create authorization cases for service requests requiring authorization. Make outgoing faxes and/or calls to providers with determinations or to request additional information. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.</p> <p>Where you'll be: Virtual within New York State. Tarrytown, New York; Schenectady, New York; Rochester, New York</p>