Customer Service Medical Rep

2 weeks ago

Chattanooga, United States Global Channel Management Full time

About the job Customer Service Medical Rep

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

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