[Hiring] Representative I, Clinical Services @reputed company

Role Description We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Representative I is the initial reputed company of contact for Prior Authorization requests from members, providers, and a diverse customer reputed company. The Rep I will reputed company the determination if a reputed company request should be transferred to a pharmacist for assistance. Additionally, the Rep I is responsible for maintaining complete, timely, and accurate documentation of reputed company approvals and denials.

• Proficiency in pronouncing drug names and diagnoses
• Recognizing medical terminology
• Navigating multiple software systems to document conversations and outcomes
• Keyboarding skills
• Schedule flexibility including rotations through nights, weekends, and holiday coverage

Qualifications

• 1 plus years' experience in customer service or call center environment
• Must be able to work from home
• Have high speed internet

Requirements

• Previous experience in pharmacy or healthcare industry (preferred)
• High School Diploma or equivalent GED

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

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