Sorry, this listing is no longer accepting applications. Don’t worry, we have more awesome opportunities and internships for you.

Remote Customer Service Representative

Medix

Remote Customer Service Representative

Louisville, KY +2 locations
Full Time
Paid
  • Responsibilities

    Job Description

    Job Summary The Aetna CD Representative II will work closely with the Prior Authorization team to process Approval and Denial letters. Must apply information [provided through multiple channels] to the plan criteria defined through work instruction. Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases. Responsible for research and correction of any issues found in the overall process. Must maintain compliance at all times with CMS and department standards. Position requires schedule flexibility including rotations through nights, weekend and holiday coverage. This will be a work from home position. Applicant will need previous MCO/Prior Authorization Experience.

    Responsibilities Customer service focus. Basic experience in MSWord and MSExcel. Familiar with medical terminology and knowledge of medical coding. Ability to read and interpret billing documents. The position also requires an extensive amount of data entry work.

    Requirements 2 years experience. 1.Strong Attention to detail 2.Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality 3.Proficient computer skills and the ability to navigate in a Windows based environment 4.Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible 5.Ability to work in a high pressure, time sensitive environment 6.Project a professional business image, through phone interaction as well as internal communications 7.Demonstrated problem-solving ability and attention to detail 8.Demonstrated sense of urgency with assignments 9.Strong organizational skills 10.Strong telephone skills 11.Ability to read and understand pharmacy/medical terminology 12.Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations. 13.Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations. Ability to perform basic mathematic calculations maybe required 14.Ability to interpret a variety of work instructions provided through a variety of mediums 15.Ability to anticipate needs and resolve issues with urgency 16.Ability to consistently meet quality and production standards 17.Displays confidence in the ability to learn complex material 18.Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results

    Company Description

    Medix is a company fiercely dedicated to positively impacting lives and businesses with talent solutions backed by people data and industry expertise. CORE PURPOSE: To bring opportunities to businesses and job seekers that positively impact lives. At Medix, we boldly and decisively put people ahead of everything. Why? Because when you make the right choices for people, purpose is clear and performance and profits follow. Every day we positively impact the lives of our talent, clients, internal team and communities by: Ensuring every person can thrive at work, placing them in roles that match their skills and aspirations Knowing what matters most to clients, from skills to culture, to deliver workforce solutions that fuel productivity and success Building a purpose-driven, values-led workplace where employees are empowered to do good and deliver their best work Giving back in numerous ways to strengthen the communities we serve.

  • Locations
    Phoenix, AZ • Louisville, KY • San Antonio, TX