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Customer Service Representative
Contract: Mystic, Connecticut, US
Salary: $21.00 Per Hour
Job Code: 356310
End Date: 2024-12-25
Days Left: 2 days, 2 hours left
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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

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