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
