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Modivcare is seeking an Exception Specialist I in Delaware to manage accurate fulfillment and approvals for transportation service requests before and after transport. You will work with members, facilities, clients, and internal teams to ensure compliant, timely bookings and settlements.
This entry-level role emphasizes strong customer service, the ability to learn new systems, and attention to detail while supporting standing orders, data review, and audit activities; salary range is
Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! The Exception Specialist I position is responsible for the accurate fulfillment and approval procedures related to transportation service requests/reservations before and/or after the transport has taken place, through the use of internal and external resources as well as outreaching to members, facilities, clients and other parties. This role... Assists in creating, modifying, and recertifying standing orders under supervision. Supports the management of standing orders and hospital discharge trip assignments. Assists in ensuring cost-saving measures are in place by providing data for review. Maintains and updates the facility rolodex with guidance. Assists in investigating and reporting customer service issues and exceptions. Provides initial assistance with benefit utilization issues, verifications, waivers, and pre-authorizations. Participates in the denial and appeal process under supervision. Assists in conducting cancelation audits to ensure reporting accuracy. Supports the management team in basic tasks related to provider liquidated damages and recoupment. Assists with handling and investigating straightforward issues related to utilization. Participates in reviewing utilization and billing trends and reporting findings to senior colleagues. Participates in other projects or duties as assigned.
We are excited to speak to an individual with the following...
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. Extended periods of sitting; frequent telephone, headset, and computer use; data entry; occasional standing and walking; lifting up to 10 lbs.
Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.
We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.
Modivcare offers a comprehensive benefits package to include the following:
Modivcare is an Equal Opportunity Employer. EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law.
We appreciate your interest in joining Modivcare! Our goal isn’t a number. It’s a difference. Modivcare is leading the transformation to better connect people with care, wherever they are. We serve the most underserved by facilitating non-emergency medical transportation and personal and home care to enable greater access to care, reduce costs and improve outcomes.