- The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases
- Validates insurance patient's coverage, communicate any issues with benefits or coverage to the appropriate managers
- Checks the requirements for prior authorization and initiates as required
- Coordinates required paperwork, clinical notes and forms for submission to support request and initiates as required
- Follows up frequently to ensure visibility on authorization status throughout the approval process
- Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process
- Basic ICD9/10 and CPT code familiarity, expert knowledge on subset of Medtronic therapy codes
- Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders,
- Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed
- Good organizational skills with ability to handle multiple inquiries at the same time and critical problem-solving skills with high attention to detail
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Customer Service Rep: Ii
2 weeks ago
AVA Counsulting Bloomington, United States**Job Title: Customer Service Rep: II (Intermediate)** · **Duration: 12+ M Contract on W2** · **Location: Bloomington, IL ( Hybrid)** · **Job Type**: Contract · Pay: $ $16.00 per hour · Shift: · - 8 hour shift · Weekly day range: · - Monday to Friday · Work setting: · - Hybrid wo ...
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Dispatch Services Rep
2 weeks ago
Pronto Heating & Air Conditioning Minneapolis, United StatesJob Description Job Description Pronto Heating & Air Conditioning of Edina, MN is on the hunt for a full-time Dispatch Services Rep / Customer Service Representative (CSR) to complete administrative duties including customer services, and dispatch responsibilities.Our Reps stand ...
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Dispatch Services Rep
2 weeks ago
Pronto Heating & Air Conditioning Minneapolis, United StatesJob Description · Job Description · Pronto Heating & Air Conditioning · of · Edina, MN · is on the hunt for a · full-time Dispatch Services Rep / Customer Service Representative (CSR) · to complete administrative duties including customer services, and dispatch responsibil ...
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Dispatch Services Rep
1 week ago
Pronto Heating & Air Conditioning Minneapolis, United StatesJob Description · Job DescriptionPronto Heating & Air Conditioning of Edina, MN is on the hunt for a full-time Dispatch Services Rep / Customer Service Representative (CSR) to complete administrative duties including customer services, and dispatch responsibilities. · Our Reps st ...
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Customer Service Rep
2 weeks ago
NuAire Minneapolis, United States** Customer Service Rep** · **Job Category****:** SALES **Requisition Number****:** CUSTO001292 Showing 1 location Fernbrook Location · 2100 Fernbrook Ln N · Plymouth, MN 55447, USA · Fernbrook Location · 2100 Fernbrook Ln N · Plymouth, MN 55447, USA · **Job Details** · * ...
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Customer Service Rep
2 weeks ago
JABRA Corporation Minneapolis, United States**Position:** · Customer Care Representative · **Reports to Title:** · Supervisor/Manager, Customer Care · **Department/Division:** · Customer Care · **Primary Work Location:** · Bloomington, MN · **Job Code/Classification** · Non-Exempt · **Revision Date:** · January ...
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patient services rep
2 weeks ago
University of Minnesota Minneapolis, MN , USA, United StatesAbout the Job · Patient Service Representative - Somali Speaking · Job Responsibilities · This position is responsible for processing registrations and admitting patients into the clinic for their appointments. These employees will: · Initiate the patient care episode and may hel ...
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Customer Service Rep
1 week ago
Pine Environmental Services Minneapolis, United StatesJob Title: Customer Service Representative · Reports To: Branch Manager/Customer Service Supervisor · About Us: Pine is the leading provider of rental equipment in the nation for Environmental Monitoring Equipment, Sampling and Safety Supplies, Non-Destructive Testing and Visual ...
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Customer Service Rep
1 week ago
TEKsystems Minneapolis, United States:Position Overview: · Daily Responsibilities/Job Description: · • Receive inbound and make outbound calls to eligible members to communicate MTM information · • Utilize Prime's MTM process management system to record member specific information · • Assess beneficiary information ...
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Customer Service Rep
1 week ago
TEKsystems Minneapolis, United States:Position Overview: Daily Responsibilities/Job Description: · • Receive inbound and make outbound calls to eligible members to communicate MTM information · • Utilize Prime's MTM process management system to record member specific information · • Assess beneficiary information ...
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Customer Service Rep
1 week ago
Gallagher Minneapolis, United StatesAbout Us: · Discover a world of endless possibilities at Gallagher Benefit Services, where you'll have the power to shape the future of workplaces across industries. As a member of our team, you become the driving force behind positive change, helping clients build environments ...
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Customer Service Rep
3 weeks ago
TEKsystems Plymouth, United StatesSTARTING ASAP Need Call Center or Dispatching experience · Job Description: · Service Dispatchers are responsible for the timely dispatch of Service Requests and Preventative Maintenance Inspections. · Dispatchers will work directly with technicians, field leaders, and use routin ...
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Patient Services Rep
3 weeks ago
University of Minnesota Minneapolis, United StatesJob ID · 358665 · Location · Twin Cities · Job Family · LR-Health Care NonProfessional · Full/Part Time · Full-Time · Regular/Temporary · Regular · Job Code · 5001 · Employee Class · AFSCME Unit 4 - Health Care · About the Job · Patient Service Representative - Bilingual ...
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Customer service rep
3 weeks ago
Randstad Minneapolis, United StatesRandstad Staffing is partnering with an organization in Bloomington that is looking for a 1st shift CSR (Customer Service Representative). You will be responsible for answering phones, problem-solving with customers, and basic computer use. The shift is 6am-4:30pm Monday-Thursday ...
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Patient Services Rep
3 weeks ago
Questco Minneapolis, United StatesPatient Service Representative â" Bilingual Job Description · This position is responsible for processing registrations and admitting patients into the clinic for their appointments. These employees will: · Initiate the patient care episode and may help to begin the financial asp ...
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Customer Service Rep
3 weeks ago
TEKsystems Minneapolis, United StatesJob Description · Job DescriptionSTARTING ASAP Need Call Center or Dispatching experience · Job Description: · Service Dispatchers are responsible for the timely dispatch of Service Requests and Preventative Maintenance Inspections. · Dispatchers will work directly with technic ...
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Patient Service Rep/Driver
6 days ago
ALPINE HOME MEDICAL INC Minneapolis, United States**Job Summary** · Our part-time Medical Equipment Delivery Driver role is perfect for those who enjoy helping others and making a difference in peoples lives. If you are deeply dependable, have exceptional people skills, and have the ability to learn and educate, then Alpine Hom ...
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Member Services Rep I
2 weeks ago
UCare Minnesota Minneapolis, United StatesPosition DescriptionAs a Member Services Representative I, Notification, Online Chat, Care Coordinator, Scheduler (NOCCS), you will be responsible to apply knowledge of UCare's business, products, members, and operations to fulfill member service requests and inquiries accurately ...
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Softpath System Minneapolis, United StatesJob Description: Summary: Responsible for interacting with customers, being the face of the company to the customer and providing a world class customer experience. Provide accurate information in response to inquiries about products and services, and handle and resolve complaint ...
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HVAC Service Sales Development Rep
2 weeks ago
Johnson Controls International Plymouth, United StatesThe HVAC Service Sales Rep is critical to the overall growth and profitability of the HVAC Service business The chosen candidate will be responsible for initiating, establishing and building profitable service relationships between new customers and HVAC, Sales, Development, Serv ...