Customer Service Medical Rep

Global Channel Managementinc; Chattanooga (TN); On-site; USD 32,000 - 52,000; Full time

Job summary

Global Channel Managementinc is seeking a Customer Service Medical Rep to support the area clinical team and educate members about benefits, services and programs.

The position requires at least 2 years of customer service experience, knowledge of medical terminology, excellent communication and time management, and the ability to work independently or in a team while handling multiple tasks. Overtime may be required.

Qualifications

• 2 years experience in a customer service support role is required.
• Knowledge in medical terminology is required.
• Must be able to work independently with minimal supervision or function in a team environment.

Responsibilities

• 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

Skills

Customer service

Medical terminology

Independent worker

Communication skills

Time management

Job 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