Care Management Associate
June 2007 — Present
As a care management associate, I serviced inbound member and provider calls for a well known health insurance company. I answered questions regarding the process of obtaining pre authorization for medical and surgical procedures . My job was to authorize the procedures, or set up cases for further review when required. I entered referral authorizations into a data base for members with HMO policies. I helped members locate providers participating with their plan, and transferred misdirected calls to the correct department. Also, I was a preceptor, and trained our new hires to do the job properly.