Remote Customer Service Representative - PSG Global Solutions Careers : Job Details

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Remote Customer Service Representative, working in Insurance industry in Dallas, Texas, United States.

• Collect structured clinical data for prior authorization and non-formulary exception requests following the guidance provided in our online prior authorization tools and/or corresponding forms.
• Screen requests based on guidance given by online prior authorization tools.
• Approve prior authorization requests if the data collected meets the approval specifications.
• Refer prior authorization requests that do not meet the approval specifications to a pharmacist for clinical review.
• Respond to contacts independently ranging from routine to moderate complexity. May seek assistance with health care professional service issues of substantial complexity.
• Perform research to respond to inquiries and interprets policy provisions to determine most effective response using established departmental procedures, HIPAA regulations, and corporate policies.

Our Client Our client provides outsourcing, staffing, consulting and workforce solutions. Hiring for Engineering, Finance and Accounting, Healthcare, Human Resources, IT, Legal, Life Sciences, Manufacturing and Logistics, Sales and Marketing and Administrative roles. For 60 years. Via 5,000 offices in 39 countries. Matching smart people with great jobs. Putting to work nearly 700,000 employees worldwide. Helping people like you achieve your potential. Using innovative technologies and passion for people to provide you the best experience possible. Every single day. Let this be your day. Put their expertise to work for you. You deserve it! Experience Required for Your Success

• High School Diploma or GED required.
• 1-5 years of Call center experience is preferred, call center experience is required.
• Excellent interpersonal communication, attention to detail, critical thinking skills are essential.
• Must have competent computer skills, be familiar with Microsoft office and have a working knowledge of Windows operating system.
• Flexibility to support extended hours and overtime as determined by business needs in order to meet customer expectations.
• Able to maintain 100% attendance throughout 4 weeks of training and excellent attendance beyond training.

What Do You Think? Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?