Licensed Health Agent (215,218,240)

Client is seeking Licensed Health Agents (215, 218, 240). Qualified candidates will have an active health insurance license and have some experience working within a call center environment. This project will be supporting Medicare Part D for Humana and candidates will be responsible for handling a high volume of member calls, assisting them with new enrollment and re-enrollment.

Job Duties:
-Receive Inbound calls from customers interested in the Prescription Program.

-Enroll customer into the Program. Receive inbound calls from beneficiaries enrolled into the Part D program.

-Assist beneficiaries with updating account information, providing plan information, and resolving issues with utilization of the plan.

-Update account information such as billing options and changes of address or phone numbers.

-Research premium billing discrepancies and prescription claims processed.

-Educate beneficiaries on how the Part D plan works, including benefits, cost sharing, and levels of coverage.

-Submit mail requests for beneficiaries such as ID cards and formularies.

-Look up medicines on the formulary to verify if they are covered, the tier and copay level, and if a drug is not covered provide an explanation as to why.

-Make concise and detailed notations as it pertains to member records.

-Assist pharmacies with prescription denials and errors and verifying benefits.

-Advise providers on how to get prior authorizations on medicines prescribed with restrictions such as step therapy and quantity limits.

-Answer questions pertaining to mailings sent out by the company periodically.

About Aerotek:

Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services.  Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .