Customer Service Representative (REMOTE)! Great opportunity to get in with a growing company.
The Customer Service Representative will work closely with providers to process prior authorization (PA), and drug benefit exception requests in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple channels] to the plan criteria defined through work instruction. Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases. Responsible for research and correction of any issues found in the overall process. Phone assistance is required to initiate and/or resolve coverage requests.
Customer service experience required
call center experience a PLUS
Medicare experience a PLUS
Strong Attention to detail
Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality
Proficient computer skills and the ability to navigate in a Windows based environment
Familiar with medical terminology and knowledge of medical coding
Please apply now! Dylan Michel / 586-710-7940Company