Clinical Service Representative - Livonia Michigan

Company: VirtualVocations
Location: Livonia, Michigan
Posted On: 01/20/2025

A company is looking for a Clinical Service Representative (Full-Time) to manage clinical tasks related to communication with clients, members, pharmacies, and healthcare providers.



Key Responsibilities

Answer phone calls, emails, and faxes from members, clients, pharmacies, and physicians
Assist Member Care Representatives with clinical calls
Troubleshoot and resolve claim processing issues in the claims adjudication system


Required Qualifications

Education: 2-year college degree in a related field preferred
Experience: Two years of applicable experience preferred; pharmacy experience is a plus
Knowledge of claims processing
Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook) More...

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