Remote Insurance Verification Specialist, Specialty (Florida)

Overview

• Employer Industry: Pharmacy and Healthcare Services
• Why consider this job opportunity
• Salary up to $22.00 per hour
• Opportunity for career advancement and growth within the organization
• Work remotely anywhere within the state of Florida
• Supportive and collaborative work environment
• Chance to make a positive impact on customer satisfaction and patient care
• Responsibilities
• Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance-related phone calls.
• Resolve questions and problems submitted by customers and PBM following established guidelines.
• Assist physicians in the prior authorization process, including the initiation of prior authorizations.
• Verify benefits for Major Medical via online resources or over the phone, ensuring payment of claims.
• Document contact interactions, recording details, complaints, comments, and actions taken.
• Qualifications
• High school diploma or GED
• Experience providing customer service in healthcare, specialty pharmacy, PBM, call center setting, or other related industry
• Ability to communicate clearly and effectively (written and verbal) with good interpersonal skills
• Basic level PC skills, including MS Windows and MS Office Suite
• Must be available and punctual for scheduled work shifts
• Preferred Qualifications
• Experience providing customer service related to adherence and complex disease states
• Experience in identifying operational issues and recommending strategies to resolve problems
• Intermediate level PC skills, including MS Windows and MS Office Suite

#Pharmacy #HealthcareServices #CustomerService #CareerOpportunity #RemoteWork We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. 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. #J-18808-Ljbffr