Our Client, a Retail Pharmacy company, is looking for a Coordinator II - Eligibility Consultant - Paper Ops for their Remote location.
Responsibilities:
- Key responsibilities include provider validation and alignment to our Medicare members, as well as outreach to obtain Verification of Chronic Condition.
- The PSSC must be able to meet the demands of a high paced environment with tight turnaround times while maintaining quality metrics.
- Our team is member centric and strives to provide excellent customer service to our members.
- The PSSC will work collectively with teammates, leadership and other departments as needed in their role.
Requirements:
- Preferred Qualifications
- 1-2 years of experience working with members and/or providers.
- Basic healthcare background.
- Previous knowledge of provider networks.
- Outbound call experience.
- Candidate must be proficient in Outlook, MS Excel and Word.
- Excellent Communication Skills.
- Experience working in a team setting
- Education
- High School Diploma, GED or Equivalent
- Verifyable High School Diploma or GED Required
- Experience
- At least 1 years of overall related experience of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment Dependable/Responsible/Accountable Excellent spoken and written communication skills Capable of managing through transition, while fostering a positive team environment Confident in decision making ability within strict timelines Exceptional prioritization and organizational skills Acts with integrity and uses sound judgment in dealing with confidential information
Why Should You Apply?
- Health Benefits
- Referral Program
Excellent growth and advancement opportunities