Medical Customer Service Representative Hybrid Job at Phaxis - Support Services

Quick hires for Qualified candidates with Medical Call Center Representative experience

Manhattan, NY

Hybrid  9-5pm   2 days in the office

Contract - long term

Work Experience:

• Minimum of two years of experience in a customer service role Required
• Health care background Required
• Excellent oral and written communication skills Required
• Advanced personal computer skills, including Word, Excel Required
• Utilization Management experience Preferred

• Obtains information from doctors and/or providers and enters data into the medical management information system to enable clinical staff to correctly apply assessment tools.
• Creates case files for services that require authorization and maintains accurate data in all applicable systems to ensure prompt decision-making and accurate claims adjudication.
• Delivers strong customer service and problem solving while providing triage and management of calls with accuracy of data collection and ensuring established call performance targets are consistently achieved.
• Tracks and monitors customer complaints concerning service requests. Reports any unusual or complex issues/trends to management; recommends corrective actions.
• Collaborates with management to determine the best approach to service customers, handle repeat vendor issues and other job-related matters to maximize and improve delivery, billing and payment of goods and services.
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality.