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Remote Insurance Verification Specialist (Texas)


PayCompetitive
LocationDeerfield/Illinois
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 1569161BR
      Employer Industry: Healthcare and Retail Pharmacy

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on customer satisfaction and patient care
      - Engage with a diverse range of customers and healthcare professionals
      - Comprehensive training and development programs offered

      What to Expect (Job Responsibilities):
      - Respond to inbound Pharmacy Benefit Manager (PBM) and major medical insurance-related phone calls
      - Resolve questions and problems submitted by customers and PBM following established guidelines
      - Process non-clinical PBM rejections and assist physicians with prior authorization processes
      - Verify benefits for Major Medical via online resources or over the phone
      - Document contact interactions, including details, complaints, and actions taken

      What is Required (Qualifications):
      - High school diploma or GED
      - Experience providing customer service in healthcare, specialty pharmacy, PBM, or call center settings
      - Ability to communicate clearly and effectively both verbally and in writing
      - Basic level PC skills, including proficiency in MS Windows and MS Office Suite
      - Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner

      How to Stand Out (Preferred Qualifications):
      - Experience in providing customer service related to adherence and complex disease states
      - Experience in identifying operational issues and recommending solutions
      - Intermediate level PC skills, including proficiency in MS Windows and MS Office Suite

      #Healthcare #CustomerService #PharmacyBenefits #CareerOpportunity #PatientCare

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

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