Job Description

NOW HIRING!! WE ARE SEEKING MEDICARE CALL CENTER REPRESENTATIVES TO JOIN OUR TEAM! YOU WILL BE RESPONSIBLE FOR HELPING CUSTOMERS BY PROVIDING MEDICARE AUTHORIZATIONS AND APPEALS ASSISTANCE. APPLY NOW TO BECOME A PART OF OUR GREAT TEAM IN THE SAN ANTONIO AREA!

Pay: $13/hr

Static schedules with the majority of schedules starting 8:00am - 9:30am with a potential to change.

POSITION SUMMARY: In this role, you will be responsible for:

• Training and working virtually with potential to return to the office in 2021
• Receive inbound phone calls from our members and prescribers
• Utilizing multiple software systems to complete Medicare appeals case reviews
• Meeting or exceeding government mandated timelines
• Complying with turnaround time, productivity and quality standards
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence
• Acquiring and maintaining basic knowledge of relevant and changing Med D guidance

REQUIRED QUALIFICATIONS:

• Working independently but be self-aware enough to know when to ask for help
• Be technically capable to understand trouble-shooting steps and be able to communicate the results to leaders or IT
• Ability to effectively communicate verbally with members and prescribers while managing multiple software systems
• Accountable and results driven
• Critical thinker/problem solver
• Receptive to constructive feedback and flexible in adapting to change
• Ability to effectively plan, prioritize, and organize time and workload
• Ability to execute successfully in a deadline-oriented, fast-paced, highly-regulated environment
• Proficient in navigation of multiple computer applications
• Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors
• Ability to type more than 30 WPM

PREFERRED QUALIFICATIONS:

• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of working in a virtual role where the supervisor is not physically in the same space
• Six months of PBM/pharmaceutical related work strongly desired

EDUCATION:

• High School Diploma or GED required
• Bachelor’s degree in related field or equivalent work experience preferred

APPLY TODAY!! DAN LUPO / A-LINE STAFFING / DLUPO@ALINESTAFFING.COM / 586-323-4178