Rep II, Customer Service Operations
What Customer Service Operations contributes to Cardinal Health
Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.
Responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.
Job Summary
The Representative II, Customer Service Operations will be responsible for processing and managing prior authorization requests to ensure timely and accurate approval from insurance carriers. This role requires excellent communication skills, knowledge of insurance policies, and an ability to work with various healthcare providers and insurance companies.
Responsibilities- Determine whether prior authorization is required based on insurance policy guidelines.
- Submit and follow up on prior authorization requests to insurance companies and healthcare providers to ensure timely approvals.
- Communicate effectively with healthcare providers and insurance companies to clarify any issues, obtain necessary information, and resolve authorization-related concerns.
- Document and track all prior authorization requests and updates in the system
- Completed minimum of two (2) years of college education or SHS Graduate
- At least one (1) year of BPO customer service experience doing inbound calls
- Strong oral and written communication skills
- Communicates clearly and professionally
- Demonstrates active listening and customer engagement
- Able to work in a fast‑paced environment, demonstrating urgency and effective multitasking
- Amenable to night shift work
- Applies acquired job skills and company policies and procedures to complete standard tasks
- Works on routine assignments that require basic problem resolution
- Refers to policies and past practices for guidance
- Receives general direction on standard work; receives detailed instruction on new assignments
- Consults with supervisor or senior peers on complex and unusual problems
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day.Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click here