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Healthcare Customer Service Coordinator
2 months ago
Position Overview:
MedImpact Healthcare Systems, Inc. is seeking dedicated individuals to enhance our team.
We specialize in delivering innovative pharmaceutical and technology solutions that significantly elevate healthcare value. Our commitment is to provide exceptional outcomes through advanced products, systems, and services that ensure transparency and empower decision-making. Our mission is to establish a benchmark in delivering solutions that maximize satisfaction, service quality, cost-effectiveness, and overall excellence in the healthcare sector.
Key Responsibilities:
- Deliver exceptional customer service to pharmacies, healthcare providers, health plan sponsors, and their members by addressing and resolving inquiries related to benefits, claims processing, eligibility checks, prior authorizations, and other pharmacy benefit management functions.
- Assist various internal departments, including Contact Center, Prior Authorization, Claims, and Pharmacy Network Management, by providing research support and direct member assistance through electronic communication.
- Collaborate with the Business Solutions team to fulfill client support requests and ensure adherence to service commitments.
- Review design setups and claims processing to ensure client requirements are met and suggest improvements to enhance workflow efficiency.
- Support training and skill development initiatives by demonstrating best practices and mentoring team members.
- Engage with diverse departments and external representatives to resolve customer service issues effectively.
- Accurately enter authorizations requested via phone, ensuring thorough documentation and compliance with established protocols.
- Identify and track opportunities for service delivery enhancement, including coordinating issue resolution and recommending process improvements.
- Manage special projects, including task delegation and follow-up.
- Utilize various software applications to research and resolve complex issues related to benefit design and claims processing.
- Conduct outbound communications to pharmacies, members, and healthcare providers as needed.
- Ensure timely and accurate responses to client inquiries to meet service expectations.
- Participate in required training sessions and departmental meetings to maintain and enhance knowledge and skills.
Qualifications:
- Associate's degree or equivalent combination of education and experience is required.
- Two to three years of experience in administrative roles and customer service is essential.
- Previous experience in pharmacy benefit management, health plans, or the healthcare industry is preferred.
Technical Skills:
- Intermediate proficiency in MS Office applications, including Word, Excel, and Outlook, with a willingness to learn new software.
- Experience with Windows-based database systems is necessary.
Additional Skills:
- Demonstrated punctuality and reliability.
- Ability to follow supervisor instructions and collaborate effectively with colleagues.
- Understanding of and adherence to workplace rules and corporate policies.
- Capacity to accept constructive feedback and establish personal goals.
- Exhibit initiative and dedication to achieving set competencies.
Travel Requirements:
This role may involve occasional domestic travel.
Benefits:
- Comprehensive medical, dental, and vision plans.
- Paid time off and company holidays.
- 401(k) plan with company matching.
- Life and disability insurance.
- Tuition reimbursement programs.
- Employee referral bonuses.
MedImpact is a privately-held pharmacy benefit manager dedicated to improving healthcare outcomes and expenditures through high-value solutions for payers, providers, and consumers in both domestic and international markets.
Equal Opportunity Employer: MedImpact is committed to creating a diverse environment and is proud to be an equal opportunity employer.
