Customer Service Representative

1 month ago


Roseville, United States Collabera Full time

Description

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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
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
  • insurance
  • benefits
  • eligibility
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Srividhya M
  • srividhya.m@collabera.com


Apply Now

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