Pharmacy appeals representative ii - united states, san antonio oeste
adecco is currently seeking a pharmacy appeals representative in san antonio, tx for one of our client's.
pharmacy appeals representative ii
start date 10/16/22
the role requires you to be responsible for:
utilizing multiple software systems to complete medicare appeals case reviews
meeting or exceeding government mandated timelines
complying with turnaround time, productivity and quality standards
conveying resolution to beneficiary or provider via direct communication and professional correspondence
acquiring and maintaining basic knowledge of relevant and changing med d guidance
required qualifications:
accountable and results driven
critical thinker/problem solver
receptive to constructive feedback and flexible in adapting to change
ability to effectively plan, prioritize, and organize time and workload
ability to execute successfully in a deadline-oriented, fast-paced, highly-regulated environment
proficient in navigation of multiple computer applications
proficient use of keyboard, mouse and ability to navigate 2 workstation monitors
ability to type more than 30 wpm
preferred qualifications:
at least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
six months of pbm/pharmaceutical related work strongly desired
education:
high school diploma or ged required
bachelors degree in related field or equivalent work experience preferred
if you would like to be considered for this position – please apply now!
equal opportunity employer/veterans/disabled
the company will consider qualified applicants with arrest and conviction records
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