The Customer Care Specialist handles incoming calls regarding questions about a members prescription benefit.
These calls include but are not limited to what a members copay would be, if a medication is covered, faxing forms to doctors for authorization on a medication before it can be prescribed, etc.
Educate members on how to best utilize their benefits
Troubleshoot pharmacy claims real-time to include verifying information the pharmacy submits, comparing the claim result to benefit rules, and entering allowed overrides to allow claims to pay
Send documents to providers electronically
Follow up and provide superior service through outbound calls as necessary
Treat all customers with respect and display empathy
Pay:* $18.75/hr
Skills:* Computer Skills, Customer Service, insurance verification, Inbound Call, Medical Claim, prior authorization, member service, prescription benefits
Additional Skills & Qualifications:*
2+ years of Prior Medical customer service experience (healthcare call center)
Excellent phone etiquette and typing skills (40wpm, 500kph)
Basic knowledge of Microsoft Office and internet required. Will be reviewing documents of pharmacy benefits
