Client Services Specialist

Greensboro, NC 27407

Posted: 01/16/2018 Category: Professional Job Number: 24750

Job Description:
  • Work with a team of specialists dedicated to one of our manufacturer partners to provide reimbursement support services.
  • Have direct interaction with the manufacturer client to provide case statuses and updates.
  • You will initiate interaction with members through outbound calls, outline our programs, and assess member willingness to participate.
  • Will receive calls from plan representatives and providers to address questions regarding the intake process.
  • As part of the Intake Department, you will be responsible for completing outreach in a timely and efficient manner, supporting and facilitating our process related to member needs.

Requirements:
  • Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing.
  • Ability to work in a fast paced environment, handling both inbound and outbound calls.
  • Must be organized, detail-oriented and able to document cases clearly and accurately in accordance with the program guidelines.
  • Good communication skills are essential, both internal and external.
  • Knowledge of Medicare benefits, enrollments and LIS assistance.
  • Ability to read and comprehend simple instructions, short correspondence, and memos.
  • Ability to write simple correspondence.
  • Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
  • Knowledge of Business Blocks and CPR+
  • Minimum of One (1) year work experience in applicant patient areas.
  • Associates degree in related field or equivalent experience is required.

For more information, please contact our office at 877-782-3334.

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