Kelly Services Customer Service Representative in Mason, Ohio
Customer Service Representative
Our top pharmacy benefit management client in Mason, OH is currently seeking multiple Customer Service Representatives. This position will start April 16th, 2018 and has an hourly pay rate of $11.50 per hour.
As a Customer Service Representative placed with Kelly Services, your primary goal is to effectively transition patients’ information, received via fax and/or client partner download, into our client database program and prepare necessary files to expedite the process of getting patients started on client product. This entails performance of part or all of the essential job functions listed below. Our client is looking for individuals who are passionate, creative and committed to service solutions that promote better health outcomes.
Your responsibilities include but are not limited to:
Perform all aspects of electronic claims process and rejection resolution.
Ensure accounts requiring authorizations and re-authorizations are identified, secured, and updated in RX Home prior to each shipment; notify as appropriate if authorization cannot be obtained.
Contacts benefit providers to gather policy benefits/limitations to ensure services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.).
Handle inbound client calls and written correspondence regarding patient eligibility.
Provide inbound phone call support to the prior authorization team giving personal attention to the resolution of customer issues having to do with the status of letter requests or physician review process.
Support cross-functional departments in resolution of eligibility issues (claims, contact center, account management, service delivery, etc.).
Negotiate pricing for non-contracted payers and authorize patient services and ensure proper pricing is indicated in RxHome; Works referrals.
Complete other projects and additional duties as assigned
High school diploma or GED required, Bachelor’s degree preferred.
2-3 years of relevant working experience to include one year of health care experience with medical insurance knowledge and terminology; Patient Access knowledge.
Billing and Reimbursement experience, and knowledge of RxHome, are strongly desired.
Intermediate data entry skills and working knowledge of Microsoft Office.
Experience training and coaching less experienced staff with patience to explain details and processes repeatedly.
Excellent phone presentation and communication skills.
Demonstrated ability to handle challenging customers in a professional manner.
Ability to adapt in a dynamic work environment and make decisions with minimal supervision.
Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions.
Terms of Assignment
Training: Training will be 2 weeks. Shift will be Monday-Friday 8:00am-4:30pm for training and then after shifts will be assigned.
SHIFTS available: Tuesday-Saturday 8:00am-4:30pm or 9:00am-5:30pm.
APPLY NOW OR REFER A FRIEND!
At Kelly Services®, we work with the best. Our clients include 99 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly® annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
As a Kelly Services candidate you will have access to numerous perks, including:
Exposure to a variety of career opportunities as a result of our expansive network of client companies
Career guides, information and tools to help you successfully position yourself throughout every stage of your career
Access to more than 3,000 online training courses through our Kelly Learning Center
Weekly pay and service bonus plans
Group- rate insurance options available immediately upon hire*
Let us help advance your career today.
*Available for purchase and administered by a designated third-party vendor
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, and Gender Identity, and is committed to employing a diverse workforce.
Please note this position is not being recruited by your local Kelly branch. In order to be considered please submit your resume directly to firstname.lastname@example.org.
Why Kelly ® ?
At Kelly Services ® , we work with the best. Our clients include 95 of the Fortune 100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
AboutKelly Services ®
As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook , LinkedIn and Twitter .
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law. at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm