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Customer Service Representative
2 days ago
Coon Rapids, Minnesota, US

Job Description

**Position is REMOTE within MN**
**24 months / 2 Years long project with possibilities of extension**
Pay: $15/hr - $16/hr
HM's Top Needs:
• Customer service skills
• Ability to multitask
• Problem solving skills
Education Required: high school diploma/GED
Years’ Experience Required: Minimum 1 year customer service experience
  • 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:
  • 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 Client therapy codes
  • Superior customer service skills with outstanding communication skills t o 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

To apply for this position, click on apply and send in your resume along with your contact info. For any further queries please feel free to contact:

Kajal Jyotishi



Job Requirements

Customer service skills


Job Code: 50147271

Reach Out to a Recruiter

Recruiter Kajal
Phone +9738057541