Show:
Health Plans
LiveVox
Call Miner
Compass and Screening
Misc
100

Where can you locate the "Health Plan Guide" 

SOS Resource Guide 

100

Within how many minutes do you have to say the FCC statement.

1 Minute. 

100

What do you have to ask for when verifying PHI

DOB and Complete Mailing Address. 

100

How many marked domains do you need to move a child's case on? 

2

100

What do you have to do the Friday BEFORE pay day. 

Validate your time sheets! 

200

If a member is NOT in Compass, and the Health Plan Guide says "YES" you can create a profile, what do you do? 

Add them to Compass! 

200

If you do not speak Spanish, what do you need to do before calling Voyance?

Reach out to our Spanish Speakers to see if they are available to take the call. 

200

What are 2 phrases for Politeness?

  • “How are you?"

  • “How may I/can I assist you?”
  •  
  • “I apologize for/about…”
  •  
  • “My pleasure”
  •  
  • “Best wishes/congratulations     on…graduation/marriage/new     house/new baby/wedding/honeymoon/family”
  •  
  • “Thanks so much for that     information/for taking the time to speak with me”
  •  
  • Referring to claimant as     “Sir/Ma’am”
  •  
  • “Is there anything else I can     help with?”
  •  
  • “Have a great/good/wonderful/blessed day!”
200

In the MDIs where does "frequency" go? 

Symptoms? 

200

How much OT can you work right now?

Unlimited! 

300

If member calls in, and is NOT in Compass, and the Health Plan Guide says "NO" you can not create a profile, what do you do? 

Advise them to call their health plan. 

300

If you complete a full screen start to finish, what Term Code do you select?

"Accepted Case"

300
Name 2 phrases for "Ownership"


  • “I would be happy to…”
  •  
  • “I will be able to…”
  •  
  • “I will follow up with…”
  •  
  • “I can definitely…”
  •  
  • “I can check on that”
  •  
  • “I can connect you…”
  •  
  • “I can suggest…”
  •  
  • “I’ll go ahead and..”
  •  
  • “Let me help you with…”
  •  
  • “Let me make sure…”
  •  
  • “Let me look and see…”
  •  
  • “We are here to help”
  •  
  • “What     I can do is…”
300

What is Symptoms? 

Examples of Physical symptoms:
-pain, fatigue, swelling, joint stiffness, weakness, numbness, shortness of breath, cough, nausea, etc.

Examples of Mental symptoms:
-low mood, crying spells, low motivation, loss of interest, mood swings, short temper, nervousness, panic attacks, obsessions or compulsions, nightmares or flashbacks of a traumatic event, memory problems, attention or concentration problems, inability to handle stress, etc.

300

What is a passing score on audits

<92%

400

What is PFK and do we work with them?

Partners For Kids - YES! Tomara gets the referral and uploads it, the plan then has the "OK" to call, so we know we WILL have that case. 

400

If you started the screen, but the member has to hang up, what do you select?

Incomplete Screen 

400

What do you ask for during third party? 

  • “Third party”
  •  
  • “Friend or family member”
  •  
  • Example:     “Is     there a third party I can add to your account, this can be a friend or     family member…”
400

What is Functional Limitations? 

Functional limitations are defined as "reduced ability to do basic work-related physical and/or mental activities." Functional limitations are caused by symptoms of a MDI and can result in reduced ability to do...

Physical functions such as
-Exertional: sitting, standing, walking, lifting/carrying; pushing, pulling, reaching, or handling;
-Nonexertional: postural (position) – bending, stooping, crouching, kneeling; senses - seeing, hearing, speaking, touch/feeling, etc.

Mental (nonexertional) functions such as
-understanding and remembering simple instructions;
-maintaining attention and concentration to carry out tasks
-use of judgment;
-responding appropriately to supervision, co–workers and usual work situations; dealing with other people; and
-dealing appropriately with changes and stressors

400

As an SOS Tier 1, what do your accept average and attendance have to be to earn $800 bonus? 

5.0 Accept Average; 100% attendance. 

500

Parent calls in and states they have Anthem Insurance through her employer. They do not have any Medicaid insurance. What do you do next?  

Offer fee agreement.

500

ANY Foreign Language Call needs to be coded this.

Does Not Speak English 

500

Give me 1 reason why Call Miner may grade your call wrong. 

1) You werent speaking clearly

2) You coded your call wrong. 

500

Where does height and BMI go in the screening?

 Support Notes 

500

How long do you have to be here and out of ramp up to start qualifying for an SOS Tier 2?

9 months.