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Intake Care Representative

  • Location

    Baltimore, United States

  • Sector:

    Other Area(s)

  • Job type:

    Contract

  • Contact:

    Leric Arcigal

  • Job ref:

    20780

  • Published:

    over 1 year ago

  • Expiry date:

    2020-08-22

Processes direct member reimbursement (DMR) requests received by mail, fax, electronic portal or telephone.

Works with time sensitive material and must adhere to mandated turnaround times on all work.

Seeks assistance with complex customer services issues.

Makes outboundcalls to members, physicians and/or pharmacies toobtain or provide information regarding status of requests.

Seeks assistance with complex customer services issues.

Must be able to sit for the majority of shift and be comfortable working in a call center environment.

All work is subject to review and follow up for errors and coaching by management staff.

Actively listens to customers, probes for clarification, and provides coverage determination and/or appeals guidance based upon customers individual needs.

Maintains all company and regulatory compliance guidelines.