Customer Service Rep.

  • Location
    Eden Prairie, Minnesota
  • Job type
    Contract/Temporary
  • Category
    Medical & Science - Billing / Collections

Adecco is currently assisting a local client in their search to fill several Customer Service Representatives positions in Eden Prairie, MN! This is a long term opportunity for the right person. If you would like to pursue a great opportunity and enjoy working for a fast paced company, then Apply Now if you meet the qualifications listed below!

Chat with me now at https://flashrecruit.com/user/KristinKaiser








What is the specific title of the position? Prior Authorization Coordinator

Must have Call Center experience!

Position background – what does this position accomplish for the business? Coordinators are responsible for various non-clinical tasks performed in support of the UR pre-authorization process. Coordinators may interact with members, providers, hospitals and other facilities, as well as the Clinical teams. Responsibilities include: handling incoming calls and answering questions or transferring members as appropriate; managing incoming faxes, mail and portal requests; initial triage of requests; intake of pre-authorization requests; setting up cases in systems; managing referrals; fulfillment of cases including approval and denial letters; and other tasks as assigned. Must have basic understanding of all health plans and requirements.

There are currently about 75 non-clinical prior auth staff throughout several locations – Las Vegas, Phoenix and Cebu, Philippines. We are building a new team in the Eden Prairie location to help cover eastern clients. We have a diverse group of staff and we like to include some fun activities in local offices (in Las Vegas currently they are having potlucks and wearing their hockey team jerseys, etc). We’re looking for candidates that are fast learners, can work with multiple systems (we provide training), are team players – willing to help do whatever is needed and are reliable (show up when scheduled) and have a positive attitude. This is a temp-to-perm position so would prefer candidates that are looking for long-term work. We also have opportunities for advanced after coordinators have met/exceeded all metrics for at least a year.


Specific Duties:
1. answering incoming phone calls from providers
2 handling incoming faxes or web requests
3. look up member eligibility and provider status in various systems
4. build prior authorization or referral cases
5. route cases to correct queues (next steps)


What software tools/skills are needed to perform daily responsibilities? We use Microsoft outlook and other Microsoft apps as well as several internal custom applications. Ability to learn the different systems quickly, be able to jump in and become productive within the team quickly, have high accuracy/quality and are willing to ask for help when they aren’t 100% sure of the answer. Clear and professional English speaking and writing skills are critical as these staff interact with our provider offices

Must have qualifications/experience:
1. call center experience, must be able to multi-tasks, look up info and enter info while on phone
2. data entry skills - type at least 45 wmp
3. accurate data entry and attention to details
4. analytical and comparison skills
5. interact positively with co-workers and internal/external customers verbally and in written communication
6. health care experience preferred

What skills/attributes are nice to have, and will set a candidate apart? Previous health care experience, knowledge of CPT codes, prior authorizations, Medicare, etc


How will performance be measured? We have production metrics, quality metrics, metrics on phone coverage, and attendance metrics.

Shift Start/End Time: two shifts available
6:50am - 3:20pm central time
7:50am - 4:20pm central time

Dress Code: dress slacks/skirts and tops M-TH, fri casual - jeans and work appropriate tops







Adecco provides one of the most comprehensive benefits packages in the industry to contract employees.

HOW TO APPLY:
Candidates interested in this Opportunity should apply IMMEDIATELY. DO NOT DELAY. Please click on the “Apply Now” button to fill out your application. If you have any questions, you can contact Kristin Kaiser at kristin.kaiser@adeccona.com


IMPORTANT INFORMATION:
This position is being recruited for by Adecco’s Service Delivery Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above, however your resume must be received via the “apply now” button included within to be considered.


The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group offers benefits including Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_2_286200_404087