Customer Experience Representative jobs in United States
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Provalus · 15 hours ago

Customer Experience Representative

Provalus is a pharmaceutical distribution company specializing in cardiac medical devices, and they are seeking dedicated Customer Experience Representatives to support cardiac device casework. The role involves training to become Insurance Verification & Prior Authorization Specialists, managing patient insurance processing across two specialized teams.

Information Technology & Services

Responsibilities

Manage open cases for pacemakers and heart monitors
Verify insurance coverage and determine payer responsibility
Submit or follow up on prior authorization requests via fax or outbound calls (PA team only)
Accurately enter and update case information in internal systems
Identify and flag discrepancies or incomplete documentation
Adhere to HIPAA and all relevant healthcare compliance standards

Qualification

Healthcare experienceInsurance verificationMedical billingData entryLearning healthcare systemsClear communicationIndependent work

Required

Experience in healthcare, insurance verification, or medical billing
Strong data entry and documentation skills
Clear communication abilities, especially for roles requiring outbound calls
Ability to work independently while meeting deadlines and accuracy benchmarks
Comfortable learning and working within healthcare systems and payer processes
High school or equivalent

Benefits

401(k)
Dental insurance
Health insurance
On-the-job training
Paid time off
Professional development assistance
Referral program
Vision insurance

Company

Provalus

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Provalus offers program management, business process outsourcing, quality assurance, and data loss prevention services.

Funding

Current Stage
Late Stage

Leadership Team

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Christen Black
Cofounder and Chief Marketing Officer
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