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Customer Service Medical Rep
4 months ago
Customer Service Medical Rep needs 2 years experience in a customer service support role is required
Customer Service Medical Rep requires:
•Possible COVID-19 vaccine mandate.
•Knowledge in medical terminology
•Customer service support role is required
•Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
•Proficient interpersonal and organizational skills
•Independent, Sound decision-making and problem-solving skills
•Must be able to work in an independent and creative manner.
•Self-motivated and able to manage multiple tasks and set priorities.
•Effective time management skills
•Excellent oral and written communication skills
•Strong interpersonal and organizational skill
Customer Service Medical Rep duties;
•Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.
•Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
•Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
•Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
•Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries
•Work overtime as needed
