Description
Home Search Jobs Job Description Customer Service Representative Contract: Mystic, Connecticut, US Salary: $21.00 Per Hour Job Code: 356310 End Date: 2024-12-25 Days Left: 25 days, 2 hours left Apply Position Details:Industry Medical Devices Job Title Customer Service Representative II Work Location Mystic, Connecticut - 06355 Duration 24 months Pay Range $19-21/hr Job Description:
- Patient Access Representative
- The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required.
- Works directly with physician offices and payers to facilitate patient access to various therapies.
- Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization.
- Assists with appealing prior authorization denials, retro authorization or other special cases
Responsibilities Include, But Are Not Limited To
- Validates insurance patient's coverage, communicate any issues with benefits or coverage to the appropriate managers
- Checks the requirements for prior authorization and initiates as required
- Coordinates required paperwork, clinical notes and forms for submission to support request and initiates as required
- Follows up frequently to ensure visibility on authorization status throughout the approval process
- Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process
- Basic ICD9/10 and CPT code familiarity, expert knowledge on subset of therapy codes
- Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders.
- Advanced MS Excel skills. Ability to learn and use multiple CRM software programs as needed
- Good organizational skills with ability to handle multiple inquiries at the same time and critical problem-solving skills with high attention to detail
Job Requirement - customer service
- prior authorization
- medical terminology
- insurance patient's coverage
Reach Out to a Recruiter - Recruiter
- Email
- Phone
- Srividhya M
- ...@collabera.com
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