Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Saint Louis, MO
View more jobs in Missouri

Job Details

Customer Care Rep I or II

Company name
Anthem, Inc.

Location
Saint Louis, MO

Apply for this job






5 hit(s)  

Profile

Description Your Talent. Our Vision. At Anthem, Inc., it\u2019s a powerful combination, and the foundation upon which we\u2019re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care . This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America\u2019s leading health benefits companies and a Fortune Top 50 Company. Customer Care Representative I-II * Manager will determine level based upon the selected applicant\u2019s skillset relative to the qualifications listed for this position.* Description Level I: Responsible for managing incoming calls, faxes, emails and ePAs related to pharmacy prior authorization. Primary duties may include, but are not limited to: Manage incoming calls, faxes and ePAs related to pharmacy prior authorizations. Refers cases requiring clinical review to a Pharmacist or Medical Director. Responsible for the identification and data entry of pharmacy prior authorization requests.Analyzes problems and provides information\/solutions. Conducts clinical screening process. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. Operates a PC\/image station to obtain and extract information; documents information, activities and changes in the database. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information. Under immediate supervision, receives and places follow-up telephone calls \/ e-mails to answer customer questions that are routine in nature. Uses computerized systems for tracking, information gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims. Seeks, understands and responds to the needs and expectations of internal and external customers. Required to meet department goals. Level II: Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Proficient in all basic customer service areas performs some but not all types of moderately complex function. Must be able to successfully perform all the duties of the Customer Care Rep I. Responsible for managing incoming calls, faxes, emails and ePAs related to pharmacy prior authorization. Primary duties may include, but are not limited to: Manage incoming calls, faxes and ePAs related to pharmacy prior authorizations. Refers cases requiring clinical review to a Pharmacist or Medical Director. Responsible for the identification and data entry of pharmacy prior authorization requests.Analyzes problems and provides information\/solutions. Conducts clinical screening process. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner Analyzes problems and provides information\/solutions. Operates a PC\/image station to obtain and extract information; documents information, activities and changes in the database. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information. Proficient in all basic customer service functions. Receives and places follow-up telephone calls \/ e-mails to answer customer questions. Inquiries may also be on a walk-in basis. May require deviation from standard practices and procedures with the assistance of a computerized system. Requires general knowledge of company services, products, insurance benefits, provider contracts and claims. Seeks, understands and responds to the needs and expectations of internal and external customers. Required to meet department goals and expectations. Qualifications Level I: Requires a HS diploma or GED; up to 1 year of previous experience in an automated customer service environment; Medical and pharmaceutical terminology training preferred Medical, insurance and pharmaceutical experience preferred Level II: Requires a HS diploma or GED: 1 to 3 years of Anthem experience in an automated customer service environment; Medical and pharmaceutical terminology training preferred Medical, insurance and pharmaceutical experience preferred

Company info

Anthem, Inc.
Website : http://www.antheminc.com

Company Profile
The company was formed when WellPoint Health Networks Inc. and Anthem, Inc. merged in 2004 to become the nation's leading health benefits company. The parent company originally assumed the WellPoint, Inc. name at the time of the merger. In December 2014, WellPoint, Inc. changed its corporate name to Anthem, Inc. The Anthem brand is built on a foundation of trust – it’s the name consumers are most familiar with as a trusted health care partner through our affiliated health plans. Anthem, Inc. is one of the largest health benefits companies in the United States. Through its affiliated health plans, Anthem companies deliver a number of leading health benefit solutions through a broad portfolio of integrated health care plans and related services, along with a wide range of specialty products such as life and disability insurance benefits, dental, vision, behavioral health benefit services, as well as long term care insurance and flexible spending accounts. Headquartered in Indianapolis, Indiana, Anthem, Inc. is an independent licensee of the Blue Cross and Blue Shield Association serving members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin; and specialty plan members in other states.

Similar Jobs:
Job Description: Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide. Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the...
Job Description: Equifax is a global leader in consumer, commercial and workforce information solutions that provide businesses of all sizes and consumers with insight and information they can trust. Equifax organizes and assimila...
CSR-1 Call Handling Rep U640
location Alton, IL
Job Description: Founded in 1886, American Water is the largest and most geographically diverse publicly traded U.S. water and wastewater utility company. With headquarters in Voorhees, N.J., the company employs 6,800 dedicated pr...
EmploymentCrossing was helpful in getting me a job. Interview calls started flowing in from day one and I got my dream offer soon after.
Jeremy E - Greenville, NC
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
CallCenterCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
CallCenterCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 CallCenterCrossing - All rights reserved. 21