Medical Claims Processor

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

Job Description:

Job Description:

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

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