Job description
Position: Pharmacy Appeals Representative
Contract to hire: 6+ months
Location: Remote
Schedule: Mon- Fri d 8-8 EST, rotating weekends
Pay: $17.50/hr.
Position Summary;
In this role, you will be responsible for:
- 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:
- 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 PBM/pharmaceutical related work strongly desired
#INDTMS
Job Type: Contract
Pay: $17.00 per hour
Schedule:
- 8 hour shift
- Monday to Friday
- Weekend availability
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