CLINICAL SERVICE REP

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POST DATE 8/11/2016
END DATE 10/11/2016

Cooper University Health Care Camden, NJ

Company
Cooper University Health Care
Job Classification
Full Time
Company Ref #
33948
AJE Ref #
575847745
Location
Camden, NJ
Experience
Entry Level (0 - 2 years)
Job Type
Regular
Education
High School Diploma or GED

JOB DESCRIPTION

APPLY
SHORT DESCRIPTION:



Responsible for communication between all customers via telephone.



Customers include employees, members, physicians, referral sources, and providers.



The communication includes, benefit coverage, medical services, appeals and grievances,

provider access and availability, claims investigation.



The position utilizes computer terminal to manage and obtain essential information.



Researches inquiries and demonstrates a strong ability to resolve issues according to the

Plan document and policies and procedures.



Refers unsolved inquiries and corrections to the appropriate analyst for resolution.



Achieves maximum time effectiveness and customer service by answering all incoming

phone calls within 3 rings.



Provides clerical and telephone support for Case Management program.



Maintains provider file compliance according to directive.



Performs duties as assigned by Supervisor within the scope of knowledge and skill.

SPECIAL REQUIREMENTS:

Scheduled Days / Hours: Monday - Friday, 7:30A - 4P



Education:

High School Diploma or Equivalent required.

Experience:

Previous customer service experience.



Medical or health insurance background preferred.

Cooper University Health Care is an equal employment opportunity employer and does not discriminate on the basis of gender, race, age, religion, physical or mental disability, marital status, Veteran status, national origin, or any other category protected by federal or state law.