Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply Now
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
Default4

Medicare Authorization Specialist

Solon Full-Time
$13.00 - $14.00 / hour
Apply Now

Medicare Authorizations and Appeals Analyst


Position Summary:

Our company purpose is to help people on their path to better health. As a Medicare 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.


Pay Rate: $14.00

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

Required Qualifications:


  • Accountable and results driven
  • Critical thinker/problem solver
  • Receptive to constructive feedback and flexible in adapting to change
  • Ability to effectively plan, prioritize, and organize time and workload
  • 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
  • Ability to type more than 30 WPM

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

Education:

· High School Diploma or GED required




  • Accountable and results driven
  • Critical thinker/problem solver
  • Receptive to constructive feedback and flexible in adapting to change
  • Ability to effectively plan, prioritize, and organize time and workload
  • 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
  • Ability to type more than 30 WPM

Recommended skills

Appeals
Medicare
Medicare Part D
Critical Thinking
Success Driven
Pharmaceuticals

Location

Salary Details

Based on Job Title, Location and Skills
$13
Below Avg. Average Above Avg.

Career Path

See the next step in your career
Medicare Authorization Specialist
$13.00 - $14.00 / hour
Estimated Salary: $40K
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: Solon Rep

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.