Claims Processing, Communication Skills, Computer Skills, Customer Support/Service, Detail Oriented, Documentation, Employee Assistance Plan, Healthcare, Industry/Trade Analysis, Managed Care, Microsoft Windows Operating System, Multitasking, Organizational Skills, Pharmacy, Problem Solving Skills, Resolve Customer Issues, System Operations, Vendor/Supplier Planning
PRINCIPLE RESPONSIBILITIES include but are not limited to:
- Support multiple client program offerings
- Handling general client inquiries, service calls, and problem resolution, meeting EHIM's performance standards
- Effectively communicate with multiple parties to complete tasks from beginning to end
- Performs benefit authorizations and modification as required and approved by client
- Maintain up to date documentation of communications and activities between EHIM and client and/or member through EHIM system and operations
- Proactively keeps themselves and the department educated on industry trends and developments to accurately communicate to clients
- Performs various related duties and special projects as assigned
- Follows all policies and procedures related to job responsibilities
SKILLS AND REQUIREMENTS
- High school diploma or equivalent required, post high school education preferred.
- Minimum two years' experience in a customer service position.
- Work experience as a pharmacy technician, DMEPOS provider, claims adjuster, or a similar service position in health care or injury claim industry is preferred.
- Must have excellent communication skills and the ability to work effectively with clients, pharmacies, vendors, and plan members.
- Proficient PC skills in Windows-based applications.
- Possess strong analytical skills and independent thinking/creativity.
- Ability to be flexible and quickly adapt to changing needs within the department.
- Must be highly organized with strong attention to detail.
- Must be flexible with scheduled work hours.
- Ability to work under general direction, on multiple tasks with demanding timelines.
- Managed care background and knowledge of pharmacy terminology desired.
PHYSICAL DEMANDS
Requires sitting, standing, and occasional light lifting
The Perks of Joining Our Team:
We believe in taking care of our team. Youll enjoy a comprehensive benefits package designed to support your well-being and financial future:
- Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
- Time to Recharge: Paid vacation and holiday pay.
- Focus on Your Wellness: We offer a robust Employee Wellness Program.
- Invest in Your Future: 401 k with a company match.
- Support System: Employee Assistance Program provides confidential support and counseling.
- Get Rewarded for Referring Great People: Employee referral program.
ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.
ProCare Rx is an Equal Opportunity Employer
B
Burgess Information Systems Inc