Pharmacy Appeals Representative II

  • Sector: MRS Medical
  • Contact: Glacier Bae Jumawan
  • Client: Medical Recruitment Strategies
  • Location: Leon Valley, United States of America
  • Salary: Negotiable
  • Expiry Date: 12 December 2022
  • Job Ref: BBBH403967_1663098109
  • Contact Email: gjumawan@medicalrecruitmentstrategies.com

Good day!

This is Glacier from Medical Recruitment Strategies.

One of our clients is looking for an Pharmacy Appeals Representative II

Location: San Antonio, TX.

Job Type: Contract-Full Time

Pay rate: $15.50-16.00/hr.

Job Responsibilities:

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

Bachelor's degree in related field or equivalent work experience preferred

If you are interested, please respond with your UPDATED RESUME so I can immediately assist you.

Please reach out to me for further details

You may call me at 978-296-0854

You may email me at

​​​​​​​Thank you and hope to hear from you soon!