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JOB DESCRIPTION
The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required.
Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization.
Assists with appealing prior authorization denials, retro authorization or other special cases
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
Last updated : 2024-05-13
Full Time
$37k-46k (estimate)
04/09/2024
05/15/2024
hire-talent.com
Cedar, MN
<25
The job skills required for Customer service rep include Customer Service, Problem Solving, Communication Skills, Attention to Detail, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Customer service rep. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Customer service rep. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Customer service rep positions, which can be used as a reference in future career path planning. As a Customer service rep, it can be promoted into senior positions as a Customer Service Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Customer service rep. You can explore the career advancement for a Customer service rep below and select your interested title to get hiring information.
If you are interested in becoming a Customer Service Rep, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Customer Service Rep for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Customer Service Rep job description and responsibilities
Customer service representatives (CSRs) are the front-line support within organizations that sell products and services to consumers and businesses.
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The best CSRs are genuinely excited to help customers.
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Customer service representatives work with a business’ customers to handle complaints, take orders, process returns, or solve problems.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Customer Service Rep jobs
Communicate as efficiently as possible.
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Don’t worry about acquiring expensive gear; focus on the learning first.
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A commitment to providing great customer experiences by working with enthusiasm, energy and pace.
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A strong Customer Service Background and entry level Accounting skills.
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Step 3: View the best colleges and universities for Customer Service Rep.