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Medicare Authorizations and Appeals Representative - Remote

Posted 3 days ago

Opportunity in Highly Demanded Healthcare Field!

Position: Medicare Authorizations and Appeals Representative
Location: Remote
Hourly Rate: $ 15.82/hr.
Term: 7 months

Day-to-Day Responsibilities:

  • Training and working virtually
  • Utilizing multiple software systems to complete Medicare appeals case reviews
  • Meeting or exceeding government mandated timelines
  • Complying with turnaround time, productivity and quality standards
  • Conveying resolution to beneficiary or provider via direct communication and professional correspondence
  • Acquiring and maintaining basic knowledge of relevant and changing Med D guidance

Is this a good fit? (Requirements):
  • Working independently but be self-aware enough to know when to ask for help
  • Be technically capable to understand trouble-shooting steps and be able to communicate the results to leaders or IT
  • Ability to effectively communicate verbally with members and prescribers while managing multiple software systems
  • Accountable and results driven
  • Critical thinker/problem solver
  • Receptive to constructive feedback and flexible in adapting to change
  • Ability to effectively plan, prioritize, and organize time and workload
  • Ability to execute successfully in a deadline-oriented, fast-paced, highly-regulated environment
  • Proficient in navigation of multiple computer applications
  • Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors
  • Ability to type more than 30 WPM

Even better if you have:
  • At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
  • Six months of working in a virtual role where the supervisor is not physically in the same space
  • Six months of PBM/pharmaceutical related work strongly desired

If this looks like a perfect fit, apply today!