Job Title: Remote Healthcare Call Center Representative
Pay: $18.97 an hr | Bi-weekly
Job Type:
? Remote
Shift Options:
? Monday to Friday anytime between 12p-12am CST Training Schedule: Mon-Fri 8a-8pCST
Remote Healthcare Call Center Representative Overview:
? The Representative will work closely with providers to communicate the determination of the prior authorization status on behalf of Medicaid as the client and in accordance with Medicare Part D CMS Regulations.
? Must apply information [provided through multiple channels] to the plan criteria defined through work instruction.
? Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases.
? This position makes outbound call to provider offices/staff while providing professional phone assistance to all callers through the criteria based prior authorization process.
? High volume call center, able to process 150 calls minimum daily.
Remote Healthcare Call Center Representative Qualifications:
? Minimum 2 years of experience in a high volume call center – healthcare or PBM/prior authorization-related preferred. Must have some familiarity with medical terminology and coding.
? Strong Attention to detail
? Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality
? Proficient computer skills and the ability to navigate in a Windows based environment
? Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible
? Ability to work in a high pressure, time sensitive environment
? Project a professional business image, through phone interaction as well as internal communications 7.Demonstrated problem-solving ability and attention to detail
? Demonstrated sense of urgency with assignments
? Strong organizational skills
? Strong telephone skills
? Ability to read and understand pharmacy/medical terminology
? Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations.
? Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations. Ability to perform basic mathematic calculations maybe required
? Ability to interpret a variety of work instructions provided through a variety of mediums
? Ability to anticipate needs and resolve issues with urgency
? Ability to consistently meet quality and production standards
? Displays confidence in the ability to learn complex material
? Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results
Remote Healthcare Call Center Representative Benefits:
? 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.
How to Apply:
If you are interested in this position, please apply OR submit your resume to:
Saw Hlaing | [email protected] | 412-790-5425
