*Representative I

  • Sector: MRS Medical
  • Contact: Marie Nellas
  • Client: Medical Recruitment Strategies
  • Location: Guadalupe, United States of America
  • Salary: Negotiable
  • Expiry Date: 16 January 2023
  • Job Ref: BBBH406516_1666119072
  • Contact Email: mnellas@medicalrecruitmentstrategies.com

A Representative I is needed to join CVS health right now! Full-time position onsite in Phoenix, AZ. With excellent pay!

As a Representative I, your key responsibilities would include but are not limited to:

  • The primary responsibilities are to verify insurance coverage for potential new clients.

  • Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.

  • This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.

  • Strong attention to detail, and proven analytic and problem solving.

  • This position involves extensive member contact via the telephone.

  • Handles inbound/outbound calls from participants and/or prescribers when needed to start and process order requests.

  • Research issues sent by Customer Care, Account Managers, internal customers and Quality Assurance relative to the customer service experience.

  • Notifying requestor of decisions, changes, or other relevant information pertaining to request/inquiry.

  • Responsible for researching and resolving payment issues.

  • Call to offer a direct sale of medications to participants and posting payments to the proper account.

  • Perform required transactions to complete mail order prescriptions.

  • Follow through on standard operating procedures, problem-solving and troubleshooting within guidelines.

Qualifications

  • Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctors office then anything below managing 75 calls/day would not translate to a similar environment).

  • Must have an effective and empathetic communication style in managing inbound calls and communications with clients and team members.

  • Computer experience is required with proficiency in Microsoft Outlook, Word and Excel.

  • Basic alpha number data entry skills with attention to accuracy and quality is essential.

  • Intermediate math skills are required with attention to detail and quality essential.

  • Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology.

  • Must be able to read and interpret policies, procedures and instructions.

  • Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.

  • Ability to research and investigate orders using Peoplesafe and LINKS.