HireTalent - Staffing & Recruiting Firm · 5 months ago
Customer Service Rep II - Non-Exempt
United States
Full-time
Remote
New Grad, Entry LevelHireTalent is a staffing and recruiting firm seeking a Customer Service Representative II. The role involves verifying prior authorization requirements, obtaining authorization, and assisting with appeals for prior authorization denials while ensuring patient access to therapies.
DeliveryHuman ResourcesStaffing Agency
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 our client 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 Microsoft 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 our client 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 Microsoft 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
HireTalent - Staffing & Recruiting Firm
HireTalent is a certified Minority Business Enterprise (MBE) workforce solutions firm, specializing in securing the best talent fits in Executive/Retained Search, Direct Hire Placements, MSP, SOW, and nationwide hiring program management and support.
Founded in 1997
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ashish Kaushal
CEO / Founder
Company data provided by crunchbase