Remote Jobs

Customer Service Rep


PayCompetitive
LocationRemote
Employment typeFull-Time
  • Job Description

      Req#: 10279
      Job Title: Customer Service Rep
      Client: Medical Device Manufacturing Company
      Duration: 2 Years
      Location: Virtual, Georgia 30339
      Shift: 1st Shift


      Role Overview
      • Support patient access by verifying insurance coverage and managing prior authorization requests
      • Coordinate with physician offices, payers, and internal teams to ensure therapy approvals
      • Assist with authorization submissions, follow-ups, and appeals when required

      Responsibilities
      • Verify patient insurance coverage and benefits
      • Identify prior authorization requirements and initiate authorization requests
      • Coordinate documentation including clinical notes and required forms for submission
      • Follow up with payers to track authorization status and approvals
      • Assist with appeals for prior authorization denials or special cases
      • Communicate coverage issues or authorization updates with stakeholders
      • Maintain records and update CRM systems with authorization details
      • Use Excel and internal systems to track and manage authorization requests
      • Provide support to physicians, sales representatives, payer representatives, and internal teams

      Must Have
      • Experience handling prior authorizations or insurance verification
      • Strong customer service and communication skills
      • Knowledge of payer authorization processes
      • Basic familiarity with ICD-9 / ICD-10 and CPT codes
      • Advanced Microsoft Excel skills
      • Ability to work with multiple CRM systems
      • Strong organizational and problem-solving skills

      Nice to Have
      • Experience in healthcare, medical device, or insurance environments
      • Experience working with physician offices and payer representatives
      • Knowledge of therapy-related medical billing codes
      • Experience handling authorization appeals or complex case

      #ZR
  • About the company

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