Job Description
Ultimate Staffing Services is a business line of Roth Staffing Companies L.P., one of the largest privately held staffing companies in the USA. Our client is a nationwide Pharmacy Benefit Manager Servicing Healthcare Insurance plans and members around the United States. We are currently hiring for Work from Home (Remote) Customer Service Representative. This is a wonderful opportunity to work from home with a great company. This is a contract opportunity, expected to last through December 2022.
Eligibility Specialist (Pharmacy/Healthcare Insurance)
Pay: $14.40 Per hour
Work location: Remote/Work from home
Normal Work Schedule: 8:00am EST to 4:30pm EST (Monday - Friday)
Term: Through December 2022
Daily Responsibilities:
- Receive inbound and make outbound calls to eligible members to communicate MTM information
- Utilize process management system to record member specific information
- Assess beneficiary information to ensure appropriate level of intervention is scheduled with appropriate MTM clinician (Pharmacist or Nurse)
- Address and triage queries regarding MTM related Medicare Part D topics by transferring calls to MTM staff or other department help lines
- Receive inbound calls from beneficiaries to schedule MTM clinician interventions in a manner that meets the specialized needs of the targeted population and is Centers for Medicare & Medicaid Services (CMS) compliant
- Document MTM eligibility and program status in the applicable software systems (i.e. MSA Toolbox, RX Claim)
Must Haves:- Proficiency in typing and Windows platforms required; experience with Excel, mail merging, etc. a plus
- Candidates should be comfortable interacting on the phone
- High speed internet: Minimum 10mbps upload, 20 mbps download
- Remote/home work space: Must be quiet, dedicated location
- High School Diploma or GED
We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
To apply please email your resume to jwuebben@ultimatestaffing.com