Customer Service Rep II
3 weeks ago
Location: Virtual California 95678(Remote)
Duration: 24 months
Job ID: 16837
Pay Range: $20-$25/hr. on W2
Job Description
ALTERNATE JOB TITLE
Patient Access Representative
JOB DESCRIPTION
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 Client 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 Client 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
Thank You
Ashwini Nair
Associate RecruiterLearn More
-
Customer Service Representative
2 months ago
Sacramento, United States Ajilon Full timeAjilon - JobID: E07763A4-13D6-45EF-88CA-8D463B2C9F1A [Customer Service Representative] As a Customer Service Rep at Ajilon, you'll: Address member inquiries, questions and concerns in all areas including products, tracking numbers, updating customer profiles, etc; Verify customer billing information and shipping address; Function efficiently and productively...
-
Patient Service Rep
2 weeks ago
Sacramento, United States CEDARS-SINAI Full timeJob DescriptionThe Patient Service Rep is responsible for positive patient relations, accurate telephone communication, appointment scheduling, patient registration, payment and co-payment collection and overall providing outstanding customer service to patients through the intake of calls and ability to navigate services throughout Cedars Sinai Medical...
-
Customer Service Representative
1 week ago
Sacramento, California, United States YMCA OF SUPERIOR CA Full timeJob SummaryWe are seeking a highly skilled Customer Service Representative to join our team at the YMCA of Superior CA. As a Member Service Rep, you will be responsible for delivering exceptional service to our members, guests, and program participants.About the RoleThis is a full-time position that requires excellent interpersonal and problem-solving...
-
Parts Customer Care Rep
2 months ago
West Sacramento, United States Crown Equipment Full timeParts Customer Care Rep Location: West Sacramento, CA, US, 95691 **Company Description:** Crown Equipment Corporation, one of the world's largest lift truck manufacturers, offers local support on a global scale with more than 15 manufacturing facilities worldwide and more than 500 retail locations in over 80 countries. Our global sales and service network...
-
Insurance Customer Service Representative
4 weeks ago
Sacramento, California, United States Cristi Rodda - Farmers Insurance Full time**About the Role:**We are seeking an experienced and committed individual to join our team as a Full-Time Customer Service & Sales Rep at Cristi Rodda - Farmers Insurance in Sacramento, California.As a Customer Service & Sales Representative, you will play a vital role in managing and growing our customer base by providing excellent customer service and...
-
Staff Services Manager II
2 months ago
Sacramento, California, United States Department of Human Resources Full timeJob Title:Staff Services Manager IIJob Summary:The Staff Services Manager II is responsible for overseeing all budget duties for CalHR, State Personnel Board (SPB), and the California Citizens Compensation Commission (CCCC). This position provides hybrid telework opportunities, with employees required to work in-person at least two days per week.Key...
-
Business Development Rep, Informatics
2 weeks ago
Sacramento, United States Abbott Laboratories company Full timeThe Opportunity The Informatics Business Development Rep is a point-of-care software sales professional thats highly skilled at driving exponential growth in their territory through closing new business and expanding existing business space. Respons Business Development, Business, Development, Healthcare, Business Services, Sales
-
Customer Service Advocate II
2 weeks ago
Sacramento, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Shifts will be Monday - Friday, 8:30am - 5pm PST or 9:30am - 6pm PST. **Position Purpose:** Performs...
-
Printing Services Operator Level I/II
4 weeks ago
Sacramento, United States Government Jobs Full timeGovernment Jobs - Permanent Full-Time - $42,553.44 - $55,269.36 Annually Come join one of Forbes Magazine's Best Employers! T his is a limited continuous filing exam. Next filing cut-offs are at 5:00 pm on: 5/16/24, 6/13/24 (final) Level 1 - $3,546.12 - $4,310.00/month Level 2 - $3,789.75 - $4,605.78/month Printing Services Operators operate a variety...
-
Field Service Technician II
4 weeks ago
Sacramento, California, United States Bluberi Gaming USA Inc Full timeJob OverviewWe are seeking a skilled Field Service Technician II to join our team in Northern California. As a key member of our Field Service team, you will be responsible for providing exceptional support to our customers by installing, maintaining, and troubleshooting gaming equipment.
-
Member Service Rep
3 weeks ago
Sacramento, United States LHH Recruitment Solutions Full timeJob DescriptionJob DescriptionThe Member Services Representative (MSR) is responsible for being the primary point of contact for members and providers who interact with internal departments or external entities, including Medical Groups, Health Care Providers, and Brokers. ResponsibilitiesAccurately record and refer appeals and grievances according to...
-
Order Processing Specialist
4 days ago
Sacramento, United States Collabera Full timeDescription Home Search Jobs Job Description Order Processing Specialist Contract: sacramento, California, US Salary: $22.00 Per Hour Job Code: 355997 End Date: 2024-12-25 Days Left: 21 hours left Apply Position Details:Industry Publishing and Information Service Job Title Order Processing Rep II / Customer Service Rep Work Location Sacramento CA...
-
Project Manager II
4 weeks ago
Sacramento, California, United States PNC Financial Services Group Full timeCompany OverviewPNC Financial Services Group is a leader in the financial services industry, known for its commitment to customer satisfaction and employee excellence. As a Project Manager II within our Treasury Management Implementations organization, you will play a critical role in delivering exceptional results and driving business growth.
-
Order Processing Specialist
1 month ago
Sacramento, United States Collabera Full timeDescription Home Search Jobs Job Description Order Processing Specialist Contract: sacramento, California, US Salary: $22.00 Per Hour Job Code: 355997 End Date: 2024-12-25 Days Left: 28 days, 2 hours left Apply Position Details:Industry Publishing and Information Service Job Title Order Processing Rep II / Customer Service Rep Work Location...
-
Order Processing Specialist
1 month ago
Sacramento, United States Collabera Full timeDescription Home Search Jobs Job Description Order Processing Specialist Contract: sacramento, California, US Salary: $22.00 Per Hour Job Code: 355997 End Date: 2024-12-25 Days Left: 28 days, 2 hours left Apply Position Details:Industry Publishing and Information Service Job Title Order Processing Rep II / Customer Service Rep Work Location...
-
Staff Services Manager II
4 weeks ago
Sacramento, California, United States Department of Rehabilitation Full timeAbout This OpportunityJoin the Department of Rehabilitation as a Staff Services Manager II, leading a high-performing section responsible for developing and implementing program policies, regulations, and legislation to improve opportunities for Californians with disabilities.Key ResponsibilitiesAs a Staff Services Manager II, you will: Lead a team in...
-
Customer Experience Director
2 weeks ago
Sacramento, California, United States Chuze Fitness Full timeJoin Our TeamWe're looking for a skilled and motivated individual to join our team as a Shift Lead II. In this role, you will lead a team of Team Members and Shift Leads, ensuring excellent customer service and a positive work environment. With a focus on enhancing member experiences and team development, this position requires strong leadership and...
-
Administrative Assistant II
4 weeks ago
Sacramento, United States Infojini Full timeThe Administrative Assistant II position will provide specialized administrative support for the Access to Program. Tasks include: • *Creation of AV Program Manual • *File gathering and data entry of AV program documents• *Scanning and photocopying of AV training documents -required for record-keeping • Review and processing TEC's• MS Access data...
-
Administrative Assistant II
2 months ago
Sacramento, United States Infojini Full timeThe Administrative Assistant II position will provide specialized administrative support for the Access to Program. Tasks include: • *Creation of AV Program Manual • *File gathering and data entry of AV program documents • *Scanning and photocopying of AV training documents -required for record-keeping • Review and processing TEC's • MS Access...
-
Administrative Assistant II
3 weeks ago
Sacramento, United States Infojini Full timeThe Administrative Assistant II position will provide specialized administrative support for the Access to Program. Tasks include: • *Creation of AV Program Manual • *File gathering and data entry of AV program documents• *Scanning and photocopying of AV training documents -required for record-keeping • Review and processing TEC's• MS Access data...