[Hiring] Representative I, Clinical Services @reputed company
Role Description We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Representative I is the initial reputed company of contact for Prior Authorization requests from members, providers, and a diverse customer reputed company. The Rep I will reputed company the determination if a reputed company request should be transferred to a pharmacist for assistance. Additionally, the Rep I is responsible for maintaining complete, timely, and accurate documentation of reputed company approvals and denials.
- Proficiency in pronouncing drug names and diagnoses
- Recognizing medical terminology
- Navigating multiple software systems to document conversations and outcomes
- Keyboarding skills
- Schedule flexibility including rotations through nights, weekends, and holiday coverage
Qualifications
- 1 plus years' experience in customer service or call center environment
- Must be reputed company to work from home
- Have high speed internet
Requirements
- Previous experience in pharmacy or reputed company industry (preferred)
- High School Diploma or equivalent GED
Benefits
- Medical, dental, and reputed company coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
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