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Healthcare Customer Service Representative job in Tempe at A-Line Staffing Solutions

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Healthcare Customer Service Representative at A-Line Staffing Solutions

Healthcare Customer Service Representative

A-Line Staffing Solutions Tempe, AZ Full Time
$17.00/Hour
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A-Line Staffing is now hiring for a Customer Service Representative in Tempe, AZ. The Customer Service Representative would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.


Customer Service Representative Compensation


  • The pay for this position is $17 per hour
  • Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Customer Service Representative Highlights

  • This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs

Customer Service Representative Responsibilities

  • Initiate authorization requests for output or input services in keeping with the prior authorization list.
  • Research claims inquiry specific to the department and responsibility.
  • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.
  • Assess and monitor inpatient census.
  • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services.
  • Screen members by priority for case management (CM) assessment.
  • Perform transition of care duties to include but not limited to, contact the members attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
  • Coordinate services with community-based organizations.
  • Attend marketing and outreach meetings as directed to represent the plan.
  • Produces and mails routine CM letters and program educational material.
  • Data enter assessments and authorizations into the system.

Customer Service Representative Requirements

  • Knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer
  • Knowledge of medical terminology.
  • 6+ months of experience
  • High School Diploma or GED
  • Attendance is mandatory for the first 90 days

Recommended Skills

  • Assessments
  • Audio Equipments
  • Case Management
  • Claim Processing
  • Customer Service
  • Managed Care
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