Remote Insurance Verification Specialist - Specialty (Michigan)

Remote Jobs; Deerfield (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

A prominent healthcare organization is seeking a Customer Service Representative in Deerfield, Illinois. This role involves managing inbound and outbound calls related to Pharmacy Benefit Manager services, resolving customer inquiries effectively. Applicants should possess at least a high school diploma and experience in a customer service role within healthcare. This position offers a salary of up to $22 per hour and a comprehensive benefits package.

Benefits

Salary up to $22.00 per hour

Opportunity for career advancement

Supportive work environment

Comprehensive benefits package

Qualifications

• Experience in customer service within healthcare or related industry.
• Ability to communicate clearly and effectively, both written and verbal.
• Strong interpersonal skills with the ability to maintain confidentiality.

Responsibilities

• Handle inbound and outbound calls related to Pharmacy Benefit Manager.
• Resolve customer inquiries and issues following established guidelines.
• Verify patient eligibility and coverage for services.

Skills

Customer service experience

Clear communication skills

Basic PC skills

Strong interpersonal skills

Education

High school diploma or GED

Tools

MS Windows

MS Office Suite

Job description

Overview

Employer Industry: Pharmacy and Retail Health Services

Why consider this job opportunity

• Salary up to $22.00 per hour
• Opportunity for career advancement within a large organization
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care and satisfaction
• Comprehensive benefits package available
• Involvement in specialized programs, enhancing professional development

Responsibilities

• Handle inbound and outbound calls related to Pharmacy Benefit Manager (PBM) and major medical insurance
• Resolve customer inquiries and issues following established guidelines and procedures
• Verify patient eligibility and coverage for services using online resources or phone inquiries
• Assist physicians with the prior authorization process and manage non-clinical PBM rejections
• Document all contact interactions, including details and actions taken

Qualifications

• High school diploma or GED
• Experience in customer service within healthcare, specialty pharmacy, PBM, call center, or related industry
• Ability to communicate clearly and effectively, both written and verbal
• Basic PC skills, including proficiency in MS Windows and MS Office Suite
• Strong interpersonal skills with the ability to maintain confidentiality

Preferred Qualifications

• Experience in customer service related to adherence and complex disease states
• Ability to identify operational issues and recommend strategies for resolution
• Intermediate PC skills, including use of MS Windows and MS Office Suite

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