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A-Line Staffing Solutions Florida, FL Full-Time
$11.25/ hour
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Now Hiring up to 20 Client Services Specialists - MEDICARE PHARMACY AUTHORIZATIONS AND APPEALS ANALYSTS in a REMOTE role anywhere in Florida! Apply NOW to become a member of our great team!

Position Summary:

Our company purpose is to help people on their path to better health. As a Medicare Pharmacy Authorizations and Appeals Analyst, you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. This is a great opportunity to initiate a career with a leading healthcare company by completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. Are you looking for a new opportunity to work from home?
This role will allow you to do so, 100% remotely anywhere in FL.

In this role, you will be responsible for:
• Utilizing multiple software systems to complete Medicare appeals case reviews
• Meeting or exceeding government mandated timelines
• Complying with turnaround time, productivity and quality standards
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence
• Acquiring and maintaining basic knowledge of relevant and changing Med D guidance

• Position includes 8 hour shifts with rotating weekends (currently every 4th)
• Overtime will be required to meet business needs

Required Qualifications:
• Accountable and results driven
• Critical thinker/problem solver
• Receptive to constructive feedback and flexible in adapting to change
• Ability to effectively plan, communicate, prioritize, and organize time and workload
• Dedicated home work space needed, must have stable high speed internet, be able to provide a quiet uninterrupted work environment, must have workstation that is not accessible to common traffic and is secure from unintentional access.
• Ability to execute successfully in a deadline-oriented, fast-paced, highly-regulated environment
• Proficient in navigation of multiple computer applications
• Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors

Preferred Qualifications:
• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of PBM/pharmaceutical related work strongly desired
• Pharmacy Technician license preferred

• High School Diploma or GED required
• Bachelor’s degree in related field or equivalent work experience preferred

APPLY TODAY! Dan Lupo / A-Line Staffing Solutions /

/ [ Email address blocked ] - Click here to apply to MEDICARE PHARMACY AUTHORIZATIONS AND APPEALS ANALYST

Recommended skills

Medicare Part D
Critical Thinking
Success Driven

About the company

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