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Medicare Authorizations and Appeals Inbound Phone Analyst

  • Location: San Antonio, TX, 78205
  • Job Type:Contract

Posted 11 days ago

Terrific Contract Opportunity!

Come work for the nations premier health innovation company to join our mission of helping people on their path to better health. Be part of our innovative team that is unlocking the power of data to transform the healthcare experience.

Position: Medicare Authorizations and Appeals Inbound Phone Analyst
Location: Remote (Within TX)
Term: 6 months (11/30/2020 to 05/28/2021)

Day-to-Day Responsibilities: 

  • Receive inbound phone calls from our members and prescribers
  • 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
  • High School Diploma or GED required
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
  • Bachelors degree in related field or equivalent work experience preferred
If this looks like a perfect fit, apply today!