Location: San Diego, CA Remote Location: # of openings: 1 Department: Employment duration: Full time Exemption Status: Non-Exempt Relocation Assistance: N/A Added to system: 1/6/23 12:21 PM Job Code: 340.230106.8021

Description

CSR Support Coordinator

$39,612 ‐ $51,000 ‐ $62,388

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

The Scoop:

Provides outstanding customer service to pharmacies, physicians, health plan sponsors, and their members, beneficiaries, or employees by responding to and resolving phone inquiries related to benefit information, claims adjudication, eligibility verification, prior authorization, and other PBM processes.

Provides research support for multiple internal departments including: Contact Center, Prior Authorization, Claims, Configuration Services, Pharmacy Network Management, Client Teams, Legal and Accounting. Provides direct member support through internet email requests, Partners with Business Solutions on the client support team for MedAccess requests. Supports direct client requests to meet service commitments. Ensures client requirements are being met by reviewing design set up and claims adjudication. Provides suggestions to improve workflow processes.

What You Get To Do: include the following. Other duties may be assigned.

• Support department training and skill development initiatives through demonstrating best practices, mentoring and providing training support as assigned
• Interact with various departments including internal customer service team, clients and internal/external representatives in order to resolve customer service related issues
• Enter authorizations requested by phone using established on-line protocols and customer service notes
• Ensure accuracy and completeness when entering the authorization (including thorough documentation in comments section, reason for override, use of correct status code, etc.)
• Identify opportunities for improvement in work processes, operating systems, training programs and quality initiatives
• Understand interdepartmental processes as they affect the Contact Center; Prior Authorization, Claims, Configuration Services, Pharmacy Network Management, Provider Auditing and Accounts Receivable
• Identify and track opportunities to improve the delivery of service, including coordinating the issue resolution procedure; recommending process improvements
• Coordinate special projects assigned, including delegation of work and follow-through
• Utilize multiple programs such as MedAccess, SalesForce, MedResponse to research and resolve complex issues in benefit design and claims adjudication processes
• Provide outbound call services to pharmacies, members and physicians for requests
• Utilize knowledge of the business to research and resolve requests from Contact Center, Prior Authorization, Claims, Configuration Services, Pharmacy Network Management, Legal, Accounting and Client Teams
• Ensure client service expectations are being met by providing accurate and timely responses to requests
• Provide internal processing and call support for Contact Center, Prior Authorization, Configuration Services, Pharmacy Network Management, and Claims when additional help is necessary
• Participate in Required Training Lessons (RTL’s), unit and department meetings and specialized training classes or programs offered to maintain or enhance knowledge and skills
• Perform all CSR Level I and Level II tasks and assisting with special projects and assignments as delegated

Education and/or Experience

For consideration candidates will need

• An Associate's degree (A.A.), technical school; or equivalent combination of education and experience required
• Two (2) to three (3) years of administrative and customer service experience required
• Prior experience working in the PBM, Health Plan, or Health Care industry preferred

Computer Skills

Intermediate knowledge of MS Office/Word, Excel, and Outlook and aptitude for new programs. Experience with Windows based database programs is also required.

Certificates, Licenses, Registrations

None required.

Other Skills and Abilities

Demonstrated ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment. Demonstrated ability to meet or exceed the competencies as listed.

Travel

This position requires domestic travel of up to 5% of the time.

The Perks:

· Medical / Dental / Vision / Wellness Programs

· Paid Time Off / Company Paid Holidays

· 401K with Company match

· Life and Disability Insurance

· Tuition Reimbursement

· Employee Referral Bonus

This position is eligible for Employee Referral Bonus at Level I

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.