Insurance Verification Specialist -Remote (Michigan)

Why consider this job opportunity:
– Salary up to $22.00 per hour
– Opportunity for career advancement and growth within the organization
– Fully remote position, with the requirement to reside in Michigan
– Supportive and collaborative work environment
– Chance to make a positive impact on patient care and customer satisfaction

What to Expect (Job Responsibilities):
– Respond to inbound calls related to Pharmacy Benefit Manager (PBM) and major medical  insurance inquiries
– Resolve customer questions and issues following established guidelines and procedures
– Process non-clinical PBM rejections and assist in the prior authorization process
– Verify benefits for Major Medical through online resources or phone communication
– Document interactions and maintain records of customer contacts and actions taken

What is Required (Qualifications):
– High school diploma or GED
– Experience providing customer service in healthcare, specialty pharmacy, PBM, call center, or related industry
– Ability to communicate clearly and effectively, both written and verbal
– Basic level PC skills, including proficiency in MS Windows and MS Office Suite
– Strong interpersonal skills and ability to maintain confidentiality

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How to Stand Out (Preferred Qualifications):
– Experience in customer service related to adherence and complex disease states
– Experience in identifying operational issues and implementing strategies to resolve them
– Intermediate level PC skills, including proficiency in MS Windows and MS Office Suite

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