Medical Customer Service Representative - Full-time / Part-time

Responsibilities: Responsible for the accurate and timely review, disposition, documentation, and system input of submitted prescription prior-authorization (PA) requests. The Prior-Authorization Representative will receive inbound and initiate outbound calls to providers and members. The representative must have the ability to work cooperatively in a team environment. Associate will work with the team members to meet PA client's needs

Essential Job Functions: Responsible for receiving and reviewing prescription prior-authorization requests from contracted providers via telephone, fax email, or surface mail. Assist pharmacies if needed in resolving daily processing obstacles for a PA related medication. Reviews, enters and documents prior authorization requests in the claims processing and prior authorization tracking systems within pre-determined timelines.

Qualifications:

• Call center experience is required
• Medical, PBM or healthcare experience is required
• Must have open availability 24/7

$14.00/hour

$15.00/hour for Pharmacy Technicians

Please apply to this job posting with your professional resume to be considered for this full time opportunity.