Openings >> Call Center Representative - Healthcare
Call Center Representative - Healthcare
Title:Call Center Representative - Healthcare
Labor Type:Contract
Posting #:ABC8601
Location:Monroeville, PA
Immediate openings!!! 5 month contract starting on October 31st - will be a huge class and everyone starts on same day

Interviews will be conducted next week, 09/25 - 09/27 - Very fast moving position, looking to fill as soon as possible!

Training Hours: 9am - 5pm w/ 1 hour lunch
Regular Hours: 8am - 6pm w/ 1 hour lunch (plus OT based on performance!)

Must have previous experience verifying benefits and comfortable working in a call center setting. 

  • Collects and reviews all patient insurance information needed to complete the benefit verification process
  • Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs
  • Verification process could include electronic validation of pharmacy coverage and medical eligibility
  • Identifies any restrictions and details on how to expedite patient access
  • Could include documenting and initiating prior authorization process, claims appeals, etc.
  • Completes quality review of work as part of finalizing product
  • Reports any reimbursement trends/delays to supervisor
  • Performs related duties and special projects as assigned
  • Ability to work in a fast-paced office environment
  • Work requires focus, flexibility, and the ability to adapt to changing work situations
  • This position requires you to be seated most of the day
Please include most current resume when applying!
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