High School Diploma or equivalent Experience o 1 year - Customer service experience is required Skills//Certifications o Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) o Proficient oral and written communication skills o Proficient interpersonal and organizational skills o Exceptional time management skills o Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment o Independent, Sound decision-making and problem-solving skills o If current employee with the company, must meet minimum performance expectations o Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health. o Knowledge and understanding of Medical terminology o Solid knowledge and understanding of provider reimbursement methodologies.Job Profile Summary Supports customer service activities and initiatives for a number of products or clients including but not limited to the Case Management and Utilization Management departments. Job Description Job Responsibilities o Screen incoming calls and/or faxes or other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area.