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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