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Customer Care Representative

Company: Aerotek
Location: Appleton
Posted on: May 17, 2020

Job Description:

Customer Care Representative What will my daily job duties look like? * Understand, apply, and communicate client-specific prescription benefit and pharmacy claim processing information to include things like: o formularies (list of covered medications), o clinical programs to improve health and reduce costs, o member out of pocket costs o appeal rights o prior authorization/exception processes o and much more * Educate members on how to best utilize their benefits * Troubleshoot pharmacy claims real-time to include verifying information the pharmacy submits, comparing the claim result to benefit rules, and entering allowed overrides to allow claims to pay * Send documents to providers electronically * Follow up and provide superior service through outbound calls as necessary * Anticipate and address questions to prevent repeat calls in order to delight customers and reduce customer effort * Treat all customers with respect and display empathy * Protect all personal health information and abide by all HIPAA regulations and confidentiality requirements * Deliver all relevant information timely, clearly communicating in a manner that ensures customer understanding * Utilize resources consistently to incorporate changes in our fast-paced environment * Adapt to fluctuations in workload from slower times to extremely busy times * Effectively work/communicate with internal teams, such as other Customer Care team members, Prior Authorization, Manual Claims * Maintain scheduled hours and demonstrate flexibility to aid in coverage Hours: Training 4-6 weeks from 8 AM to 4:30 PM Then moving to a mid morning shift from 10 AM to 7 PM About Aerotek: We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing -- Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

Keywords: Aerotek, Appleton , Customer Care Representative, Other , Appleton, Wisconsin

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