Call Coordinator I

SGS_JOB_2289

Customer Support
Remote
Call Center
Pharmacy
PBM
Pharmacy Benefit Management
Prior Authorization

Contract - 06+ Months

Location (mandatory): Rhode Island/ Remote Shift: Hours required are M - F 8am - 5 pm EST with some flexibility for start/ stop times. Coordinator I Prior Auth & Appeals will be responsible for performing non-clinical activities and functions in accordance with policies and procedures, under the supervision of the Clinical Supervisor. Responsible for reviewing and maintaining compliance with ERISA, CMS, Medicaid, and client specific requirements. Works as part of the team to meet business unit objectives.

Job Responsibilities:

  • 1-year healthcare industry related experience (hospital, managed care, physician office, PBM etc.). Proficient in Windows applications (Word and Excel). Problem solving skills, analytical ability. Strong written communication and interpersonal skills. Minimum 25-30 WPM. Detail oriented with excellent organizational skills. Preferred knowledge of prescription drug products, dosage forms and usage. Medical / pharmacy terminology background

Skills:

  • Experience with Word and Excel
  • Must complete typing assessment and submit screenshot with resume
  • Must submit internet speed test screenshot
  • Must be hardwired and work from a private office with a door  

Education/Experience:

  • High school diploma required
  • 6 months to 1 year of experience preferred
  • Strong typing skills (minimum 30 WPM)

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