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Customer Service Representative-Albany, NY

Company: Modis
Location: Albany
Posted on: November 10, 2018

Job Description:

Interested in working in a Call Center Customer Service Representative position in Albany, NY with a dynamic and growing company? We are looking for someone who is smart, dependable, driven and have a strong interest in Customer Service. RESPONSIBILITIES AND DUTIES INCLUDE:

  • Responsible for coordinating cases for precertification and prior authorization review.
  • Managing incoming calls or incoming post services claims work.
  • Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
  • Refers cases requiring clinical review to a Nurse reviewer.
  • Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
  • Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process.
  • Authorizes initial set of sessions to provider.
  • Checks benefits for facility-based treatment.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.POSTION REQUIREMENTSThe Ideal Candidate Should Have:
    • High school diploma/GED; 1 year of customer service or call-center experience; proficient analytical, written and oral communication skills; or any combination of education and experience, which would provide an equivalent background. Medical terminology training and experience in medical or insurance field preferred.If you are interested in this Call Center Customer Service job in Albany, NY then please click APPLY NOW. If you have questions about the position or would like more information, please contact Matthew Levy at 303-968-1304 or by email at [Click Here to Email Your Resum?]

      Keywords: Modis, Albany , Customer Service Representative-Albany, NY, Hospitality & Tourism , Albany, New York

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