Remote Pharmacy Benefit Specialist ($18.75 / Hour)
By Talentify.io At United States
Handle incoming calls regarding members' prescription benefits, including copay inquiries, medication coverage, and authorization processes
Educate members on how to effectively utilize their benefits
Troubleshoot pharmacy claims in real-time, verifying information, comparing claim results to benefit rules, and entering overrides when necessary
3+ years of prior medical customer service experience
Excellent phone etiquette and typing skills (40wpm, 500kph)
Basic knowledge of Microsoft Office and internet usage
Benefit Verification Auditor - Remote
By Orsini Specialty Pharmacy At , Elk Grove, 60007
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Review all benefit verification and Complex Audit forms for all complex drugs regarding new cases and new insurance
Validate benefit verification information against authorization approval information
Remote Benefit Specialist ($21.00 - $23.00 / Hour)
By Talentify.io At United States
Must have knowledge of employee benefits, COBRA, and other federal/regulatory requirements
Processes benefit-related changes such as life-status changes, address changes, etc.
Resolves benefit administration service issues with internal staff and outside vendors
Counsels employees regarding benefit programs including plan features, procedures, eligibility, and premium information
2 years of related experience and/or training
Proficient PC skills (Microsoft Office, Outlook, HRIS, etc.)
Benefit Review Rn - Remote | Wfh
By Get It Recruit - Healthcare At Philadelphia, PA, United States

Join our dynamic team and embark on an exciting journey in the world of healthcare management! We are seeking a passionate and dedicated individual to fill the role of Clinical Benefit Review ...

Health Benefit Educator - Cigna Healthcare - Remote - Multiple Markets
By The Cigna Group At , Hartford, 06152, Ct $58,000 - $96,600 a year

Job Summary: Please note: Incumbent candidate must maintain ability to travel to local/remote trainings/meetings as assigned- 50% of the time. Therefore, incumbent candidate must be located ...

Benefit Verification Auditor - Remote
By Orsini Pharmaceutical Services At , Elk Grove, Il
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Review all benefit verification and Complex Audit forms for all complex drugs regarding new cases and new insurance
Validate benefit verification information against authorization approval information
Health Benefit Educator - Cigna Healthcare - Remote - Multiple Markets
By The Cigna Group At United States
1-2 years experience in benefit education/presentation and event deployment/support
Identify customer education opportunities to drive maximum utilization of available resources (all lines of benefit plans and programs)
Follows established guidelines and procedures of benefit education events and other events as assigned
Ability to identify opportunities and support cross-sell opportunities with sales/account management teams
Work with clients during pre-effective timeline to coordinate tailored education events with available modality options (on-site, telephonic, and self-service engagement options)
Maintains current knowledge in all products, programs, and tactics
Head Administrative Clerk/Veterans Benefit Specialist
By City of Boston At Boston, MA, United States
Interviews applicants for veterans’ benefits making thorough investigations as to the legality and need for relief.
Performs extensive research of applicants including address (es), employment status, service dates, discharge types, dependent information, and related information.
Engages in the determination of eligibility and need of veterans and their dependents under M.G.L Chapter 115, as amended.
May conduct home visits and/or field investigations.
Coordinates the communication between caseworkers and veterans.
Keeps records on action taken on cases and submits monthly reports on all active cases.
Remote Benefit Clerk Jobs
By Randstad At San Diego, CA, United States
2* year relevant work experience (Data Entry, Admin, Validating Information, Analytical, Clerical, Finance, Preparing Reports, Etc.)
**Will have the option to work from home after 1 week, approved by Manager!
Bookkeeping, Finance, Auditing, Backoffice work is ideal
Preparation and validation of information
Enter electronic form into system
Outbound calls to members validating info