Remote Jobs
Why consider this job opportunity
Comprehensive benefits package to support financial, health, and work/life balance goals
On-demand pay program powered by Payactiv
Discounts on various services such as restaurants, phone plans, and more
Optional identity theft protection, home and auto insurance, and pet insurance
Opportunity for career advancement and growth within the organization
Supportive and collaborative work environment that values diversity and inclusion
What to Expect (Job Responsibilities)
Provide efficient and accurate responses to inquiries from external customers and internal team members regarding health plan benefits
Educate customers on drug formulary guidelines and alternatives, ensuring compliance with NCQA & CMS requirements
Resolve customer concerns, grievances, and appeal rights, escalating when necessary to achieve positive outcomes
Maintain accurate documentation of all service interactions within appropriate systems
Collaborate with internal and external resources to enhance customer experience and suggest process improvements
What is Required (Qualifications)
High School Diploma or equivalent
Minimum of 1 year of relevant customer-facing service experience in a high-volume call center or insurance environment
At least 2 years of relevant Pharmacy technician experience or pharmacy billing/claim adjudication experience
Must maintain CPhT certification through continuing education
Ability to demonstrate professional and pleasant interactions with customers
How to Stand Out (Preferred Qualifications)
Associate's Degree
Certified Pharmacy Technician (CPHT) certification upon hire
State of Michigan Pharmacy Technician license upon hire
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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Comprehensive benefits package to support financial, health, and work/life balance goals
On-demand pay program powered by Payactiv
Discounts on various services such as restaurants, phone plans, and more
Optional identity theft protection, home and auto insurance, and pet insurance
Opportunity for career advancement and growth within the organization
Supportive and collaborative work environment that values diversity and inclusion
What to Expect (Job Responsibilities)
Provide efficient and accurate responses to inquiries from external customers and internal team members regarding health plan benefits
Educate customers on drug formulary guidelines and alternatives, ensuring compliance with NCQA & CMS requirements
Resolve customer concerns, grievances, and appeal rights, escalating when necessary to achieve positive outcomes
Maintain accurate documentation of all service interactions within appropriate systems
Collaborate with internal and external resources to enhance customer experience and suggest process improvements
What is Required (Qualifications)
High School Diploma or equivalent
Minimum of 1 year of relevant customer-facing service experience in a high-volume call center or insurance environment
At least 2 years of relevant Pharmacy technician experience or pharmacy billing/claim adjudication experience
Must maintain CPhT certification through continuing education
Ability to demonstrate professional and pleasant interactions with customers
How to Stand Out (Preferred Qualifications)
Associate's Degree
Certified Pharmacy Technician (CPHT) certification upon hire
State of Michigan Pharmacy Technician license upon hire
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
#J-18808-Ljbffr