Job Summary

Technical Services Representative

  • Location:
    Philadelphia, Pennsylvania
  • Job reference:
    US_EN_6_20794_59316499
  • Category:
    Help Desk/Technical Support
  • Contract Type:
    Contract/Temporary

Modis is searching for a temporary Technical Services Representative to join their team in the Philadelphia area.  This is a short term contract beginning immediately. Apply today!
 
Strong customer service skills are required. Healthcare industry knowledge is a plus!
 
• Screens information received and refers members to the appropriate provider and/or contacts the provider directly for members.
• Facilitates the authorization process for requests that do not require clinical criteria application or judgment.
• Provides relevant information to members and assists them in resolving Plan related problems
• Acts as a resource to staff for questions related to the prior authorization process
• Refers unresolved prior authorization process questions to the Lead Intake Specialist
• Accurately answers questions regarding Plan benefits and Utilization Management requirements for members and providers
• Makes appropriate inquiries to determine potential coordination of benefits and advises appropriate provider and claims staff of same
• Supports Utilization Management nurses with data entry
• Performs other duties as assigned
 


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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Equal employment opportunity information:
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