Job Description
Remote Medical Rep needs 2 years’ experience in a customer service support role is required
Remote Medical Rep requires:
May be required to implement a COVID-19 vaccine mandate.
Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
Proficient interpersonal and organizational skills - Independent,
Strong interpersonal and organizational skills
Knowledge in Medical terminology
Remote Medical Rep duties:
Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.
Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history