Remote Insurance Verification Specialist, Specialty (Florida)

Overview

• Employer Industry: Pharmacy and Healthcare Services
• Why consider this job opportunity
• Salary up to $22.00 per hour
• Opportunity for career advancement and growth within the organization
• Work remotely anywhere within the state of Florida
• Supportive and collaborative work environment
• Chance to make a positive impact on customer satisfaction and patient care
• Responsibilities
• Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance-related phone calls.
• Resolve questions and problems submitted by customers and PBM following established guidelines.
• Assist physicians in the prior authorization process, including the initiation of prior authorizations.
• Verify benefits for Major Medical via online resources or over the phone, ensuring payment of claims.
• Document contact interactions, recording details, complaints, comments, and actions taken.
• Qualifications
• High school diploma or GED
• Experience providing customer service in healthcare, specialty pharmacy, PBM, call center setting, or other related industry
• Ability to communicate clearly and effectively (written and verbal) with good interpersonal skills
• Basic level PC skills, including MS Windows and MS Office Suite
• Must be available and punctual for scheduled work shifts
• Preferred Qualifications
• Experience providing customer service related to adherence and complex disease states
• Experience in identifying operational issues and recommending strategies to resolve problems
• Intermediate level PC skills, including MS Windows and MS Office Suite

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