Representative

Phoenix, AZ

Post Date: 07/12/2017 Job ID: 22563 Category: Pharmacy

Shift:
  • Must be able to work any eight hour shift between 6: 00 a.M. To 6: 00 p.M. Monday - Friday.

Training:
  • 6am-2: 30pm

Job Description
  • As a Clinical Support Representative, you will handle a high volume of complex clinical based inbound calls from physicians and healthcare providers in support of our Prior Authorization Department.
  • In addition to handling inbound calls, you are responsible for faxes to and from medical offices and will be the important first-line of contact with our customers.
  • As a Clinical Support Representative, you will handle a high volume of complex clinical based inbound calls from physicians and healthcare providers in support of our Prior Authorization Department.
  • In addition to handling inbound calls, you are responsible for faxes to and from medical offices and will be the important first-line of contact with our customers.
  • You will set the tone for how our company provides support services.
  • This is a fast-paced position that requires attention to detail and multi-tasking.
  • Our Clinical Support Representatives continuously evaluate and drive process improvements that positively impact our client experiences and align to the goals and objectives of the organization.

Responsibilities:
  • Ensure questions and issues are resolved promptly and accurately.
  • Assist with gathering information, assessing and fulfilling our callers needs, and providing education along the way.
  • Contribute to the achievement of our service level goals.
  • Collaborate with internal and external business partners to provide solutions.
  • The primary responsibilities are handle inbound calls from Physicians or their staff for member prior authorization requests.
  • Additionally, this person will work closely with Pharmacist staff to process prior authorization requests for one call resolution.
  • Must demonstrate excellent customer services to callers.
  • This role will requires a strong attention to detail, and proven analytic and problem solving.

Experience:
  • Minimum of 2 years of experience in a customer service or call center environment.
  • 6+ months working with Microsoft Office Suite.
  • Customer service experience in health care is a plus.
  • Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology.

Qualifications:
  • Must have effective and empathetic communication style in managing inbound calls and communications with callers and team members.
  • Intermediate math skills are required with attention to detail and quality essential.
  • Ability to work with people in a team environment while meeting individual performance goals.
  • Must be able to read and interpret policies, procedures and instructions.
  • Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.

Education:
  • High School diploma or GED is required.

A-Line Staffing Solutions

877-782-3334

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