Medicare Part B Representative
Medicare Part B Representative
Managed Staffing, Inc.
United States
See who Managed Staffing, Inc. has hired for this role
Location: 100% Remote (CST or EST)
Position Summary: As a Medicare Part B Representative, you will work closely with healthcare providers to process Organization Determination (OD) and drug benefit exception requests in a call center environment. In this Clinical Representative role, you will play a meaningful role in ensuring member, prescriber, and client satisfaction. You will perform all work in accordance with Medicare Part B guidelines.
Duties
Position Summary: As a Medicare Part B Representative, you will work closely with healthcare providers to process Organization Determination (OD) and drug benefit exception requests in a call center environment. In this Clinical Representative role, you will play a meaningful role in ensuring member, prescriber, and client satisfaction. You will perform all work in accordance with Medicare Part B guidelines.
Duties
- Work incoming cases via fax to process coverage requests from members or prescribers.
- Conduct outreach to patients and providers, obtaining additional information needed to process requests.
- Research and correct any issues found in the overall process.
- Raise issues to Organization Determination Clinical Pharmacists and Management team as needed.
- Read, analyze, and interpret general business correspondence, technical procedures, and governmental regulations.
- Solve practical problems and deal with multiple concrete variables in standardized situations.
- Perform basic mathematical calculations.
- Ensure all cases are properly closed.
- Interpret a variety of work instructions provided through multiple mediums.
- Anticipate needs and resolve issues with urgency to meet quality and production standards.
- Provide schedule flexibility including rotations through nights, weekends, and holiday coverage.
- 6+ months of customer service experience.
- 6+ months of working in a virtual role where the supervisor is not physically in the same space.
- 6+ months of PBM/pharmaceutical related work strongly desired.
- Experience with Medicare Part B is a must.
- High level of attention to detail.
- Strong verbal and written communication skills.
- Ability to problem solve in a dynamic work environment.
- Ability to project a professional business image through phone interactions and internal communication.
- Verifiable High School Diploma or GED required.
- Flexibility to work any shift between 7:00am-8:00pm CST (Monday - Friday) and alternate weekends Saturday and Sunday.
- Training hours: Monday - Friday, 8:00am - 4:30pm CST.
-
Seniority level
Entry level -
Employment type
Contract -
Job function
Health Care Provider -
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Managed Staffing, Inc. by 2x
See who you knowGet notified about new Patient Access Representative jobs in United States.
Sign in to create job alertSimilar jobs
People also viewed
-
Patient Access Consultants Needed ASAP - Remote | WFH
Patient Access Consultants Needed ASAP - Remote | WFH
-
Intake Care Senior Representative (100% REMOTE)
Intake Care Senior Representative (100% REMOTE)
-
Patient Access Representative
Patient Access Representative
-
Patient Access Call Center Representative Remote USA
Patient Access Call Center Representative Remote USA
-
Intake Care Senior Representative (100% REMOTE)
Intake Care Senior Representative (100% REMOTE)
-
Patient Access Consultants Needed ASAP - Remote | WFH
Patient Access Consultants Needed ASAP - Remote | WFH
-
Virtual Assistant - 18.00 - 21.00/hour - Remote | WFH
Virtual Assistant - 18.00 - 21.00/hour - Remote | WFH
-
Virtual Assistant - 18.00 - 21.00/hour - Remote | WFH
Virtual Assistant - 18.00 - 21.00/hour - Remote | WFH
-
Virtual Assistant - 18.00 - 21.00/hour - Remote | WFH
Virtual Assistant - 18.00 - 21.00/hour - Remote | WFH
-
Payment Research Rep - REMOTE
Payment Research Rep - REMOTE
Looking for a job?
Visit the Career Advice Hub to see tips on interviewing and resume writing.
View Career Advice Hub