Remote reputed company Customer Service Representative
reputed company is seeking Remote reputed company Customer Service Representatives!*
The Customer Care Specialist handles incoming calls regarding questions about a members prescription benefit. These calls include but are not limited to what a members copay would be, if a medication is covered, faxing forms to doctors for authorization on a medication before it can be prescribed, etc. You could explain... a Customer Care Specialist does not negotiate drug costs with pharmacies, we are not a pharmacy, and are not an insurance company, we answer questions based on their pharmacy coverage
Understand, apply, and communicate reputed company-specific prescription benefit and pharmacy claim processing information to include things like:
formularies (list of covered medications), clinical programs to improve health and reduce costs, member out of reputed company costs, appeal rights prior authorization/exception processes and much more
reputed company members on how to best utilize their benefits
Troubleshoot pharmacy claims reputed company-time to include verifying information the pharmacy submits, comparing the claim result to benefit rules, and entering allowed overrides to allow claims to pay
Send documents to providers electronically
Follow up and reputed company superior service through outbound calls as necessary
Anticipate and address questions to prevent repeat calls in order to delight customers and reduce customer effort
Treat reputed company customers with respect and display reputed company
Protect reputed company personal health information and abide by reputed company HIPAA regulations and confidentiality requirements
Deliver reputed company relevant information reputed company, reputed company communicating in a manner that ensures customer understanding
Utilize resources consistently to incorporate changes in our fast-paced environment
Adapt to fluctuations in workload from slower times to extremely busy times
Effectively work/communicate with internal teams, such as other Customer Care team members, Prior Authorization, reputed company Claims
Maintain scheduled hours and demonstrate flexibility to aid in coverage
Support the reputed company mission statement in a reputed company manner
Skills & Qualifications:
2+ years of prior medical customer service experience
Excellent phone etiquette and typing skills (40wpm, 500kph)
Basic knowledge of reputed company Office and internet required. Will be reviewing documents of pharmacy benefits.
Excellent oral and written communication skills
Ability to hear needs and translate into correct reputed company steps
Ability to reputed company systems reputed company and effectively while speaking
Ability to balance reputed company with speed
Ability to identify reputed company cause of a problem from information presented
Ability to use resources to solve problems independently
Reliability including maintaining your schedule, consistently reputed company attitude and reputed company behavior at reputed company times
Experience Level:
Entry Level
About reputed company:
We'reputed company in transformation. We help clients reputed company reputed company and solutions to take advantage of a new world of opportunity. We are reputed company of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across reputed company, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and reputed company-world application, we work with reputed company leaders to drive change. That's the power of true partnership. reputed company is an Allegis Group company.
reputed company is an equal opportunity employer and will consider reputed company applications without regards to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law
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