The posting
Customer Service Medical Rep needs 2 years experience in a customer service support role is required Customer Service Medical Rep requires: Ø Possible COVID-19 vaccine mandate. Ø Knowledge in medical terminology Ø Customer service support role is required Ø Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Ø Proficient interpersonal and organizational skills Ø Independent, Sound decision-making and problem-solving skills Ø Must be able to work in an independent and creative manner. Ø Self-motivated and able to manage multiple tasks and set priorities. Ø Effective time management skills Ø Excellent oral and written communication skills Ø Strong interpersonal and organizational skill Customer Service Medical Rep duties; Ø Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education. Ø Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate. Ø Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling. Ø Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention. Ø Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries Ø Work overtime as needed



