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Customer Service Representative Support Coordinator - Tempe, United States - MedImpact
Description
Location: **Tempe, AZ** Remote Location: **CSR Support Coordinator**
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution
**The Scoop:**
Provides outstanding customer service to pharmacies, physicians, health plan sponsors, and their members, beneficiaries, or employees by responding to and resolving phone inquiries related to benefit information, claims adjudication, eligibility verification, prior authorization, and other PBM processes.
Provides research support for multiple internal departments including: Contact Center, Prior Authorization, Claims, Configuration Services, Pharmacy Network Management, Client Teams, Legal and Accounting. Provides direct member support through internet email requests, Partners with Business Solutions on the client support team for MedAccess requests. Supports direct client requests to meet service commitments. Ensures client requirements are being met by reviewing design set up and claims adjudication. Provides suggestions to improve workflow processes.
**What You Get To Do:**
Support department training and skill development initiatives through demonstrating best practices, mentoring and providing training support as assigned
Interact with various departments including internal customer service team, clients and internal/external representatives in order to resolve customer service related issues
Enter authorizations requested by phone using established on-line protocols and customer service notes
Ensure accuracy and completeness when entering the authorization (including thorough documentation in comments section, reason for override, use of correct status code, etc.)
Identify opportunities for improvement in work processes, operating systems, training programs and quality initiatives
Understand interdepartmental processes as they affect the Contact Center; Prior Authorization, Claims, Configuration Services, Pharmacy Network Management, Provider Auditing and Accounts Receivable
Identify and track opportunities to improve the delivery of service, including coordinating the issue resolution procedure; recommending process improvements
Coordinate special projects assigned, including delegation of work and follow-through
Utilize multiple programs such as MedAccess, SalesForce, MedResponse to research and resolve complex issues in benefit design and claims adjudication processes
Provide outbound call services to pharmacies, members and physicians for requests
Utilize knowledge of the business to research and resolve requests from Contact Center, Prior Authorization, Claims, Configuration Services, Pharmacy Network Management, Legal, Accounting and Client Teams
Ensure client service expectations are being met by providing accurate and timely responses to requests
Provide internal processing and call support for Contact Center, Prior Authorization, Configuration Services, Pharmacy Network Management, and Claims when additional help is necessary
Participate in Required Training Lessons (RTLs), unit and department meetings and specialized training classes or programs offered to maintain or enhance knowledge and skills
Perform all CSR Level I and Level II tasks and assisting with special projects and assignments as delegated
**Education and/or Experience**
For consideration candidates will need an Associate's degree (A.A.), technical school; or equivalent combination of education and experience required
Two (2) to three (3) years of administrative and customer service experience required
Prior experience working in the PBM, Health Plan, or Health Care industry preferred
**Computer Skills**
Intermediate knowledge of MS Office/Word, Excel, and Outlook and aptitude for new programs
Experience with Windows based database programs is also required
**Other Skills and Abilities**
Demonstrated ability to appear for work on time
Follow directions from a supervisor
Interact well with co-workers
Understand and follow work rules and procedures
Comply with corporate policies, goals and objectives
Accept constructive criticism
Establish goals and objectives
Exhibit initiative and commitment
Demonstrated ability to meet or exceed the competencies as listed
**Travel:**
This position requires domestic travel of up to 5% of the time.
**The Perks:**
Medical / Dental / Vision / Wellness Programs
Paid Time Off / Company Paid Holidays
401K with Company match
Life and Disability Insurance
Tuition Reimbursement
Employee Referral Bonus
This position is eligible for Employee Referral Bonus at Level I
To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to
MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.
**EOE, M/F/D/V**
**OSHA/ADA:**
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
**Disclaimer:**
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.