Customer Service Representative

Contract: Mystic, Connecticut, US

Salary: $21.00 Per Hour

Job Code: 356310

End Date: 2024-12-25

Days Left: 2 days, 11 hours left

Position Details:                            
Industry                             Medical Devices
Job Title                             Customer Service Representative II 
Work Location                    Mystic, Connecticut - 06355
Duration                             24 months   
Pay Range                           $19-21/hr 
 
Job Description:
  • Patient Access Representative
  • 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
  • medical terminology
  • insurance patient's coverage
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Srividhya M
  • srividhya.m@collabera.com
Apply Now
Apply Now
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Collabera is a leading global digital talent solutions firm. For over 25 years, we have provided digital and IT talent services, direct placement and career advisement, global remote talent and learning solutions to transform and diversify workforces for the Fortune 1000 globally.

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Collabera is a leading global digital talent solutions firm. For over 25 years, we have provided digital and IT talent services, direct placement and career advisement, global remote talent and learning solutions to transform and diversify workforces for the Fortune 1000 globally.

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