Scalence L.L.C. · 1 month ago
Customer Service Rep II
United States
Full-time
Remote
New Grad, Entry Level
$20/hr - $22/hrScalence L.L.C. is a company seeking a Customer Service Rep II. The representative will be responsible for verifying prior authorization requirements and obtaining authorization to facilitate patient access to therapies, ensuring patient insurance coverage and benefits.
Information Technology & Services
Responsibilities
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 *** therapy codes
Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders
Advanced Client 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
Qualification
Required
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 therapy codes
Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders
Advanced Client 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
Company
Scalence L.L.C.
In today’s dynamic and competitive market, success hinges on mastering three key areas: Data Intelligence, Business Resilience, and Digital Experience.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase