Healthcare Call Center Representative

This is a fully remote position, open to applicants in Alaska, +11 more states.

📋 Description

• Oversee a consistent and high volume of incoming customer calls.

• Confirm coverage, copayments, and coinsurance for medical services.

• Confirm coverage, copayments, and coinsurance for medications, and suggest alternative medications if necessary.

• Verify authorization and referral requirements for medical services, as well as check the status of previously requested authorizations/referrals.

• Identify pharmacies and providers that are part of the member’s network.

• Assess the status of pharmacy claims.

⛳️ Requirements

• Successfully pass a customer service assessment and typing test on a computer (not compatible with mobile devices).

• Possess a high school diploma, GED, or a college degree.

• A minimum of 6 months of customer service experience is required.

• Complete a mandatory paid training program with full attendance.

• A successful background check is necessary for this role.

🏝️ Benefits

• Health benefits, including medical, dental, and vision coverage, are available from the first day of employment.

• Paid time off is accrued after 180 days (approximately 6 months) of employment.