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Medical Service Representative

Maryland Heights, MO

Post Date: 09/19/17 Job ID: 41484 Industry: Medical Data Entry Clerk

HireLevel powered by Extra Help is seeking a Medical Service Representative for a client in Saint Louis, MO!

Position: Contract; 3-6 months

Hours: 9 a.M.- 5: 30 p.M.

Similar Positions: Medical Office Assistant, Medical Secretary, Patient Coordinator

Job responsibilities for the Medical Service Representative:
  • Answer telephones and direct calls to appropriate staff
  • Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations
  • Maintain patient records and document inpatient notifications from facilities/report them to plan and network provider case managers
  • Receive preauthorization and referral requests
  • Conduct initial benefit coverage and medical necessity clinical screening using Medicare and plan-defined guidelines in coordination with a pre-certification nurse
  • Enter referrals and authorizations
  • Provide confirmation of authorization entry
  • Maintain HIPAA standards and ensure confidentiality
  • Perform data entry to support processing of medical files and HRAs

Job requirements for the Medical Service Representative:
  • High-school degree (GED or equivalent)
  • Experience using Microsoft Office
  • Previous Insurance/Pre-Service exp preferred
  • Prior managed care experience preferred
  • Call center experience preferred
  • Medical Terminology a plus

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