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Client Services Specialist I - HR Coronavirus Call Center Representative

Lincoln, RI Full-Time
0
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Duties and Responsibilities:


  • Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing.
  • Ability to work in a fast paced environment, handling both inbound and outbound calls.
  • Must be organized, detail-oriented and able to document cases clearly and accurately in accordance with the program guidelines.
  • Good communication skills are essential, both internal and external.
  • Knowledge of Medicare benefits, enrollments and LIS assistance.
  • Plans and organizes work assignments, set priorities and completes work with a minimum of supervision.
  • Adheres to the service policy and principles of the company, as well as the program guidelines set by the department.
  • Participates in cross-training to perform all roles within the department.
  • Communicates effectively and professionally with our program partners to assure the best possible service for our patients and partners.
  • Other duties as assigned. Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day.
  • May sit or stand seven (7) to ten (10) hours per day.
  • May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required.
  • May need to lift up to twenty-five (25) pounds on occasion.
  • Visual acuity to see and read fine prints.
  • Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Must be able to hear normal voice sounds.
  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role.
  • Work Environment: Work in a climate-controlled, smoke-free internal environment.

Job Requirement:


  • Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence.
  • Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization Knowledge of Business Blocks and CPR+
  • Preferred Qualifications: Minimum of One (1) year work experience in applicant patient areas

Job Summary:


  • Work with a team of specialists dedicated to one of our manufacturer partners to provide reimbursement support services.
  • Have direct interaction with the manufacturer client to provide case statuses and updates.

Recommended skills

Communication
Appeals
Prescription
Medicare
Finger Dexterity
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