In this role, you will be responsible for:
* Training and working virtually
* 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:
* Working independently but be self-aware enough to know when to ask for help
* Be technically capable to understand trouble-shooting steps and be able to communicate the results to leaders or IT
* Ability to effectively communicate verbally with members and prescribers while managing multiple software systems
* 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
Please do not submit candidates if they have any of the following:
* ANY planned time off during the training period - six weeks from start date of job
* Cannot commit to work a regular shift within the hours
* Does not meet the minimum internet speed requirements
* Does not have a wired internet connection
* Does not have a quiet, ideally separate, space in which to work
* Are not computer savvy
