{"id":14787,"date":"2024-05-23T06:20:58","date_gmt":"2024-05-23T06:20:58","guid":{"rendered":"https:\/\/exam4sure.com\/jobs\/?page_id=14787"},"modified":"2024-05-23T06:20:58","modified_gmt":"2024-05-23T06:20:58","slug":"customer-service-representative-3","status":"publish","type":"page","link":"https:\/\/exam4sure.com\/jobs\/customer-service-representative-3\/","title":{"rendered":"Customer Service Representative"},"content":{"rendered":"
Job Description<\/h6>\n
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In this pivotal role, CSRs respond primarily to phone, also fax and online inquiries from health care professionals to assist them through the medication prior authorization process.<\/p>\n

Initial screening of requests based on guidance given by online prior authorization tools.<\/p>\n

Approves prior authorization requests if the data collected meets the approval specifications.<\/p>\n

Refers prior authorization requests that do not meet the approval specifications to a Pharmacist for clinical review. Independently responds to contacts ranging from routine to moderate complexity.<\/p>\n

May seek assistance with health care professional services issue of substantial complexity.<\/p>\n

Performs research to respond to inquiries and interprets policy provisions to determine most effective response using established departmental procedures, HIPAA regulations, and corporate policies.<\/p>\n

Customer Service Representative<\/h4>\n<\/div>\n

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