Customer Service Representative
1 month ago
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Customer Service Representative
Contract: Roseville, California, US
Salary: $20.00 Per Hour
Job Code: 352520
End Date: 2024-09-06
Days Left: 26 days, 3 hours left
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Position Details:
Client Medical Device
Position Customer Service Representative II
Location Roseville, CA - 95678
Duration 24 Months
Pay Range $19 - $20/hr
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
- 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
- customer service
- prior authorization
- insurance
- benefits
- eligibility
- Recruiter
- Phone
- Srividhya M
- srividhya.m@collabera.com
Apply Now
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