Customer Service Representative -
Customer Service Representative - are you ready to give your career a boost by bringing your talents and expertise to some of the nation's top companies? Let Medix partner with you to give you the edge you need! Medix is currently hiring for a great customer service opportunity!
Do you want to be a part of an industry that is expected to grow by 18% over the next 8 years? Medix has a great career opportunity for you! We are partnering with a global fortune 15 Healthcare managed organization that offers Customer Service Representatives a stable work schedule with competitive pay and benefits! Let Medix partner with you on your job search!
Job Summary :
Medix is seeking Customer Service Representatives to work for a fortune 500 healthcare insurance provider. The Customer Service Representative - Prior Authorization is responsible for the efficient, accurate and timely prioritization and management of work.
Pay offered for Job Title: $14.38/hr
Responsibilities of a Customer Service Representative role include:
Provides support to the Prior Authorization Department in meeting client expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making
Responsible for maintaining compliance with ERISA, CMS, and client specific requirements
Works as part of the team to meet business unit objectives
This position is also responsible for receiving calls from physician offices and providing professional and courteous assistance to all callers through the criteria-based process
The Intake Agent will follow criteria question set prompts to facilitate system-generated approvals
Further responsibilities include maintaining complete, timely, and accurate documentation of all requests, communicating to the physician’s office, pharmacies, intake etc. as needed, and transfers all clinical questions and judgement calls to the Pharmacy Technician or Clinical Pharmacist as needed
Will also assist with other duties such as outbound calls, monitoring/responding to inquiries in mailboxes and other duties as assigned by the leadership team
Will support requirements of the PA team by working as part of a weekend coverage team on a rotating basis where needed.
High School Diploma or GED Required