Remote Healthcare Call Center

A-Line Staffing is now hiring a Remote Healthcare Customer Service Representative. The Healthcare Customer Service Representative would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Healthcare Customer Service Representative position, please apply to this posting
Healthcare Customer Service Representative Compensation

• The pay for this position is $17.50 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Healthcare Customer Service Representative Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is Normal Hours: Mon-Fri 7AM-8:30PM CST. Training hours: Mon-Fri 8AM-4:30PM CST for 4 weeks.

Healthcare Customer Service Representative Responsibilities

• The Commercial PA Representative I will work closely with providers to process prior authorization PA and drug benefit exception requests on behalf of CVSHealth as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple channels] to the plan criteria defined through work instruction. Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases. Responsible for research and correction of any issues found in the overall process. Phone assistance is required to initiate and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance at all times with CMS and department standards. Position requires schedule flexibility including rotations through nights weekend and holiday coverage. Customer service focus. Basic experience in MSWord and MSExcel. Familiar with medical terminology and knowledge of medical coding. Ability to read and interpret billing documents. The position also requires an extensive amount of data entry work.

Healthcare Customer Service Representative Requirements

• Must have basic computer skills relevant to MS Outlook and Excel
• Must be able to type 35 wpm
• High School Diploma or GED
• Attendance is mandatory for the first 90 days

If you think this Healthcare Consultant Customer Service Representative position is a good fit for you, please apply to this posting!

Chin Yang with A-Line Staffing / cyang@alinestaffing.com / 586-323-4194