Remote Customer Service Representative

The CSI Companies
Published
October 17, 2020
Location
Jacksonville, FL
Category
Job Type

Description

The CSI Companies is actively seeking a Remote Customer Service Representative for our client located in the US area.

We are looking for someone who is available to work the following hours:

  • Mon- Fri 9am to 5:30pm

Details: 

The Customer Service Representative will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of the client and in accordance with Medicare Part D CMS Regulations.

  • Must apply information [provided through multiple channels] to the plan criteria defined through work instruction.
  • Assisting with data entry and full service prior authorizations and with outbound and inbound calls.

Duties:

  • 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.
  • Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed.
  • Must maintain compliance at all times with CMS and department standards.

Requirements:

  • Verifiable High School Diploma or GED Required
  • Associate's Degree or Bachelor's Degree Preferred
  • 2 years experience
  • Basic experience in MSWord and MSExcel.
Apply
Drop files here browse files ...

Related Jobs

October 5, 2020

Author: