Clinical Services Coordinator, Intermediate

Blue Shield of California • Rancho Cordova, CA

1d

About The Position

Your Role The Non-Clinical Support Queue team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquiries. The Customer Service Coordinator, Intermediate, will report to the Pharmacy Services Technician Supervisor. In this role you will sort returned mail, print and remail items in-office, maintain compliance in our communications to members and providers as well as make outbound calls.

Requirements

• Requires a high school diploma or equivalent GED
• Requires 3 years of relevant experience.
• Demonstrated ability encompasses basic understanding of internal procedures and policies needed to ensure effective execution of assigned tasks
• Ability to multi-task, set priorities, and manage time effectively
• Strong phone and verbal communication skills along with active listening

Responsibilities

• Make sure all member and provider notifications are sent to Members/MD offices in a timely manner after Prior Authorization cases have been decided.
• Ensure all notifications are completed within turn-around times to meet compliance.
• Run, sort and filter daily internal reports for manual outreach.
• Make outbound calls to BSC members and providers related to decisioned Prior Authorization request.
• Process returned mail items in-office

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees