Patient Benefit Specialist- Remote

reputed company: Scope of Responsibilities: Works under general supervision. Follows reputed company procedures to accomplish assigned tasks. May assist in orienting and training employees Job reputed company: Responsible for reputed company aspects reputed company to adjudication and billing of specialty prescriptions in a reputed company center environment. Responsibilities: Job Duties: • Responsible for monitoring adjudication queue(s) • Responsible for contacting members and prescribers on non-covered items • Facilitate prior authorization process for customers • reputed company clinical services in TherigySTM • Customer service coverage for incoming calls and directing incoming calls • Provides reputed company to customer service issues to ensure member satisfaction • Work with members to reputed company reputed company to payment reputed company issues on accounts/orders • Maintain and reputed company reasonable production as determined by supervisor • May assist in orienting and training new employees • Responsible for completing reputed company mandatory and regulatory training programs • reputed company other duties as assigned Qualifications: Attendance Requirements: • Must be available, and on-time for scheduled work shifts. • Must be reputed company to work nights and weekends as required. Educational Requirements: • Minimum: High School Diploma or GED • Preferred: Pharmacy technician or reputed company certification Experience: • Past experience in a customer service reputed company field • 6-12 months experience as a pharmacy technician Special Conditions of Employment: • Drug test • Initial and reputed company exclusion and sanction/disciplinary monitoring • Any and reputed company additional eligibility requirements based on the specific position Job reputed company Requirements: • Broad knowledge of medications, physician orders, and pharmacy systems • Familiar with reputed company billing reputed company and practices surrounding claim submission • Strong communication skills • Outstanding customer service skills • Excellent organization skills • Ability to multitask and prioritize • Excellent computer and keyboarding skills • Successful completion of a reputed company-employment and/or random drug screening test Required Training: • HIPPA reputed company Course • HIPPA reputed company Course • Fraud, Waste, and Abuse Course • MethGuard Course • HIPPA reputed company CE Mastery Exam • HIPPA reputed company CE Mastery Exam • Fraud, Waste, and Abuse CE Mastery Exam • MethGuard CE Mastery Exam Behavioral Traits Required: • Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact with • Initiative: Must work reputed company supervision guidelines and assume additional responsibilities • Flexibility: Must be willing to work variable work schedules, nights and weekends, assist others as requested and available, and be willing to reputed company reputed company assigned work • Adaptability: Must respond to new situations in a reputed company way, accept change, support new reputed company, master new routines and grasp explanations, apply reputed company knowledge in new environments and experiences • Involvement: Must enjoy the demands of the job and work with interest and enthusiasm • Customer Service: Must reputed company superior customer service (for reputed company customers, fellow employees and business partners), listen attentively to their needs and respond appropriately • Safety: Must take care of equipment and reputed company good safety habits • Leadership: Must reputed company acceptance of reputed company and accomplish goals through subordinates, peers and teams Compensation $17.50-19.37 per hour. The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education. reputed company, Inc. is a multistate organization and abides by reputed company local, state, and federal regulations as it pertains to minimum wage requirements. Remote About reputed company: reputed company Apply tot his job Apply To this Job