Job Details

A company is looking for a Customer Service Representative (Full-Time) to manage healthcare-related communication and support tasks.Key ResponsibilitiesAnswer phone calls, emails, and faxes from members, clients, pharmacies, and physicians; assist with clinical callsTroubleshoot and resolve claim processing issues in the claims adjudication systemDocument relevant claims and prior authorization information in the systemRequired QualificationsEducation: 2-year college degree in a related field preferredExperience: Two years of applicable experience preferred; pharmacy experience is a plusTechnical Skills: Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook)Required Equipment: Windows 10/11 PC (Intel i5/AMD Ryzen 5+, 8 GB RAM, 256 GB SSD), webcam, noise-canceling headset