Exceptions Specialist I

Job description

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! Modivcare is looking for an experienced Exception Specialist I to join our team. In this role, you will be responsible for ensuring the accurate fulfillment and approval of transportation service requests and reservations before and/or after transport, through internal systems, external resources, and direct outreach to members, facilities, clients, and other stakeholders. This role…: We are interested in speaking with individuals with the following… - Ensures accurate input and resolution of trip data in accordance with service guidelines. - Monitors and advises management on customer service and exception processing issues. - Researches and resolves actions such as benefit utilization issues, eligibility, pre-authorizations, mileage validations, level of service, meals and lodging, denials, and appeals. - Manages the denial and appeal process for transportation service requests. - Processes inbound and outbound communications including faxes, emails, web submissions, and mail. - Oversees phone interactions for q...