Medical Customer Service Representative

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 the Prior-Authorization client's needs.

Job Functions: Responsible for receiving and reviewing prescription prior-authorization requests from contracted providers via telephone, fax email, or surface mail. Responsible for providing general PA information requests via telephone, fax, email, or surface mail to providers, members, and/or clients and initiating information requests from providers when additonal information is required to adjudicate a prior authorization request.

Assist pharmacies if needed in resolving daily processing obstacles for a PA related medication. Problem solving and the ability to communicate solutions is essential. Identify, reports, and escalates any complaints to immediate manager. Reviews, enters and documents prior authorization requests in the claims processing and prior authorization tracking systems within pre-determined timelines.

Qualifications:

• Call Center Expereince is required
• Health Care, Medical, or PBM Expereince is required
• Must have open availability 24/7 - company is in operation 7 days a week

Pay:

$14.00/hr

$15.00/hr for Pharmacy Technicians

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 .