Managed Care / Admin in Trenton, NJ at Volt

Date Posted: 2/23/2018

Job Snapshot

  • Employee Type:
  • Location:
    Trenton, NJ
  • Job Type:
    Call Centers
  • Duration:
    48 weeks
  • Date Posted:
  • Job ID:
  • Pay Rate
    $0.0 - $15.0/Hour
  • Contact Name
    Volt Branch
  • Phone

Job Description

Now Hiring Customer Service Representative , if you have questions please call 973-404-7212


  • Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients.
  • Handles initial screening for pre-certification requests from physicians/members via incoming calls or correspondence based on scripts and workflows, and under the oversight of clinical staff.
  • Prepare, document and route cases in appropriate system for clinical review.
  • Initiates call backs and correspondence to members and providers to coordinate and clarify benefits.
  • Upon completion of inquiries initiate call back or correspondence to Physicians/Members to coordinate/clarify case completion.
  • Reviewing professional medical/claim policy related issues or claims in pending status.
  • Upon collection of clinical and non-clinical information MCC can authorize services based upon scripts or algorithms used for pre-review screening.
  • *Non Clinical staff members are not responsible for conducting any UM review activities that require interpretation of clinical information.
  • Perform other relevant tasks as assigned by Management.

Core Individual Contributor Competencies:

  • Customer Focus Accountable Learn Communicate


  • High School Diploma required. Some College preferred.

Work experience:

  • Prefer 1-2 years customer service or medical support related position.

Specialized knowledge/skills:

  • Requires knowledge of medical terminology
  • Requires Good Oral and Written Communication skills
  • Requires ability to make sound decisions under the direction of Supervisor
  • Prefer knowledge of contracts, enrollment, billing & claims coding/processing
  • Prefer knowledge Managed Care principles
  • Prefer the ability to analyze and resolve problems with minimal supervision
  • Prefer the ability to use a personal computer and applicable software and systems
  • Team Player, Strong Analytical, Interpersonal Skills

Volt offers competitive compensation, the chance to work with some of the world’s leading companies, and a friendly staff committed to helping you take the next step on your career path.  

Volt is a global leader in the staffing industry and has earned its reputation as a staffing industry leader by making sure our clients make the right hire, every time. We provide proven, flexible recruiting and workforce management solutions to companies of all size, from innovative startups to Fortune 500 clients.

To see all of our job postings, visit To learn more about Volt visit

Volt is an Equal Opportunity Employer.