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    Customer Service Medical Rep - Chattanooga, United States - Global Channel Management

    Global Channel Management
    Global Channel Management Chattanooga, United States

    3 weeks ago

    Default job background
    Description
    About the job Customer Service Medical Rep

    Customer Service Medical Rep needs 2 years experience in a customer service support role is required

    Customer Service Medical Rep requires:

    • Possible COVID-19 vaccine mandate.

    • Knowledge in medical terminology
    • Customer service support role is required
    • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
    • Proficient interpersonal and organizational skills
    • Independent, Sound decision-making and problem-solving skills
    • Must be able to work in an independent and creative manner.
    • Self-motivated and able to manage multiple tasks and set priorities.
    • Effective time management skills
    • Excellent oral and written communication skills
    • Strong interpersonal and organizational skill
    Customer Service Medical Rep duties;


    • Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.
    • 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.
    • Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
    • 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.
    • Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries
    • Work overtime as needed
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