Customer Service Medical Rep

Customer Service Medical Rep needs 2 years experience in a customer service support role is required

Customer Service Medical Rep requires:

Ø Possible COVID-19 vaccine mandate.

Ø Knowledge in medical terminology

Ø Customer service support role is required

Ø Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.

Ø Proficient interpersonal and organizational skills

Ø Independent, Sound decision-making and problem-solving skills

Ø Must be able to work in an independent and creative manner.

Ø Self-motivated and able to manage multiple tasks and set priorities.

Ø Effective time management skills

Ø Excellent oral and written communication skills

Ø Strong interpersonal and organizational skill

Customer Service Medical Rep duties;

Ø Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.

Ø Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.

Ø Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.

Ø Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.

Ø Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries

Ø Work overtime as needed