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.
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.