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Medical Claims Processor

Company: CYNET SYSTEMS
Location: Bridgewater
Posted on: January 28, 2023

Job Description:

Job Description:


  • Primary Call Center contact for pharmacies, patients and medical professionals.
  • Programs typically consist of pharmaceutical brand-initiated payment assist solutions such as co-pay cards or vouchers.
  • Call Center Representatives are responsible for fielding requests such as: direct patient reimbursements, program eligibility, explanation of program benefit and explanation/troubleshooting of submission rejection.

    Principal Accountabilities:


    • A Call Center Representative traditionally provides initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center.
    • Quickly assesses the user's issue and provides first level support for problem resolution.
    • Documents information specific to the resolution and escalates unresolved issues expeditiously to the appropriate area.
    • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary.
    • Works under moderate supervision and typically reports to the Customer Service Supervisor.

      Minimum Education and Experience:


      • We require candidates to have a minimum Call Center background of 3 + years.
      • HIPPA certified, or experience in claim processing preferred.

        Must- Haves (Hard Skills):


        • Computer Skills.
        • Call Center Experience.
        • Pharmacy Tech Experience (MUST HAVE).

Keywords: CYNET SYSTEMS, Trenton , Medical Claims Processor, Healthcare , Bridgewater, New Jersey

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