- Review and process prior authorization requests for medical services and medications.
- Verify patient eligibility and benefits with insurance payers.
- Ensure compliance with clinical guidelines and payer policies.
- Communicate with healthcare providers, insurance companies, and patients to resolve issues.
- Maintain accurate records of prior authorization requests and outcomes.
- Use EHR and prior authorization software to manage requests.
- Stay updated on industry regulations and payer requirements.
- Provide support and guidance on prior authorization processes.
Requirements:
- High school diploma or equivalent; a degree in a healthcare-related field is a plus.
- Strong understanding of medical terminology and insurance payer policies.
- Excellent communication and interpersonal skills.
- Detail-oriented with strong organizational abilities.
- Proficiency in EHR systems and prior authorization software.
- Ability to work independently in a remote setting.
- Flexibility to adapt to changing requirements.
Benefits:
- Remote work flexibility.
- Competitive salary and performance incentives.
- Comprehensive benefits package, including health, dental, and vision insurance.
- Opportunities for professional development.
- Supportive and collaborative team environment.
Customer Support Channels:
- Phone Support: Available for direct customer calls.
- Live Chat: Real-time assistance via our website and mobile app.
- Email Support: Reach out through our contact form for support inquiries.
- Self-Help Resources: Extensive online help center with guides and FAQs.
- Social Media: Support through platforms like Twitter and Facebook.
Customer Support Excellence:
- 24/7 Availability: Round-the-clock support for global customers.
- Skilled Agents: Well-trained in handling technical issues, billing inquiries, and content recommendations.
- Personalized Assistance: Tailored support based on individual subscriber needs.
- Troubleshooting: Expertise in resolving streaming, login, and playback issues.
- Billing and Account Management: Assistance with account settings and billing matters.
- Content Recommendations: Personalized suggestions based on viewing history.
- Accessibility: Support for closed captioning, audio descriptions, and other accessibility features.
- Feedback and Improvement: Utilization of customer feedback to enhance service.
- Multilingual Support: Available in several languages to cater to our diverse customer base.
Education and Skills:
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- Education: High school diploma or equivalent; bachelor’s degree preferred for some positions.
- Skills: Strong communication, empathy, patience, problem-solving, product knowledge, time management, and technical skills.
Responsibilities:
- Respond to inquiries through various channels.
- Resolve customer issues related to products, billing, and general inquiries.
- Document customer interactions and maintain accurate records.
- Provide information about products and services.
- Handle complaints professionally and escalate issues as needed.
- Offer feedback on recurring issues and areas for improvement.
- Maintain a positive company image and uphold excellent service standards.
- Continuously learn about product updates and industry trends.