My name is Andrea Vahoua and I help place candidates, such as yourself, in positions over all geographic regions for Apex Systems, Inc., the second largest staffing firm in the United States.
I currently have a Customer Service Representative opportunity available with one of our Fortune 500 pharmaceutical clients in Mt Prospect, IL. If interested, please attach your resume and feel free to reach out via phone call or email to discuss this opportunity in depth. I look forward to hearing back from you! Email: firstname.lastname@example.org
Pay Rate: $14+/hr (more for the right candidate)
Description: This position provides processing and communication of Specialty medication prior authorization referrals reviewed by the Case Review Unit for the Specialty Guideline Management Programs for Pharmacy and Medical benefits. This position collaborates with physician office staff as well as customer service, admissions and pharmacy operations departments to communicate referral status. This position is also responsible for fax processing and providing telephone call assistance for prescriber office staff, pharmacies and members based on program criteria. Duties include answering inbound phone calls, processing cases, loading authorizations, and making follow-up phone calls. Maintaining complete, accurate, and timely documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.
TRAINING CLASS 12/3/2018
Qualifications: Qualification Rating
Position Summary: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Duties: 1. Effectively and professionally handle work volume to process referrals via call and fax requests utilizing appropriate program criteria. 2. Accurate and timely documentation of data received from call and fax communications. 3. Communication with other internal groups regarding determination status and results. 4. Identify and elevate clinical inquiries to the Clinician Team. 5. Other duties as assigned - for example, sorting faxes, participating in quality control, maintaining email inboxes, maintenance and testing of operating system updates
Experience: Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, medical billing, or a similar service position. * Advanced computer skills including word processing and spreadsheet utilization. * Excellent customer service skills (written and verbal) a must. * Preferred - 1+ year experience as a pharmacy technician coordinating activities in an administrative support function. National pharmacy technician certification. Eligible for state registration, certification or licensure per state regulations.
Apex is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-463-6178