∙ 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
∙ Bachelor’s degree in related field or equivalent work experience preferred
∙ Hours of operation 8-8 est M-F with rotating weekend schedules
Job Type: Contract
Pay: $16.00 - $16.22 per hour
Schedule:
Ability to commute/relocate:
Experience:
Work Location: One location
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