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*Client Services Specialist I - Med D PBM Fax Tech

In Michigan / United States

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*Client Services Specialist I - Med D PBM Fax Tech   

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JOB TITLE:
*Client Services Specialist I - Med D PBM Fax Tech
JOB TYPE:

JOB SKILLS:
JOB LOCATION:
remote Michigan / United States

JOB DESCRIPTION :
Medicare Authorizations and Appeals Fax Analyst

Position Summary:

In this role, you will be responsible for:
• Training and working virtually
Reviewing faxes for coverage determinations for Medicare D Members
• 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

Preferred Qualifications:
• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of working in a virtual role where the supervisor is not physically in the same space

Education:
• High School Diploma or GED required
• Bachelor’s degree in related field or equivalent work experience preferred



Position Details

May 16, 2021
Accounting and Clerical
S1620486059884444
Michigan / United States
remote
A job sourcing event
In Dallas Fort Worth
Aug 19, 2017 9am-6pm
All job seekers welcome!

*Client Services Specialist I - Med D PBM Fax Tech    Apply

Click on the below icons to share this job to Linkedin, Twitter!

Medicare Authorizations and Appeals Fax Analyst

Position Summary:

In this role, you will be responsible for:
• Training and working virtually
Reviewing faxes for coverage determinations for Medicare D Members
• 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

Preferred Qualifications:
• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of working in a virtual role where the supervisor is not physically in the same space

Education:
• High School Diploma or GED required
• Bachelor’s degree in related field or equivalent work experience preferred