Customer Service Representative

Pharmacy Technician
May 24, 2021
Medical Customer Service – REMOTE
June 1, 2021

Customer Service Representative

Job Description:

The customer service representative will work closely with providers to process prior authorization (PA), and drug benefit exception requests in accordance with Medicare Part D CMS Regulations.

  • Apply information [provided through multiple channels] to the plan criteria defined through work instruction.
  • Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases.
  • Responsible for research and correction of any issues found in the overall process.
  • Phone assistance is required to initiate and/or resolve coverage requests.
  • Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed.

Must be flexible to work any day of the week between the hours of 8:00 am- 8:00 pm.

Position will start 100% remotely but will be moved to within the facility at a later date.

Pay rate is $18.28/hr.

Our Mission:

Choice One Staffing Group offers our employees assistance in finding the best positions for their skills, talents, and experience. It’s simple. At Choice One Staffing Group, People are our PURPOSE and YOUR success is OUR success!

Try us! You’ll find we focus on providing a positive candidate experience from your first contact through the completion of your first assignment and every assignment.

Employee Benefits:

We offer medical, holiday pay, vacation pay, referral bonuses and pre-employment preparation.

Specialized Staffing:

We specialize in Administrative, Light Industrial, Technical, Medical and Hospitality

EEO Policy:

Choice One Staffing Group, Inc. is an equal opportunity employer that prohibits employment discrimination based on race, color, religion, sex, national origin and ancestry, individuals who are 40 years of age and older or qualified individuals with disabilities.

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