Healthcare Call Center Representative

  • location: Montgomery, AL
  • type: Temp to Perm
  • salary: $14 per hour
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job description

Healthcare Call Center Representative

Duration: 02/04/2019 to 06/28/2019 (Temp to Hire)
Hours: Start times between 8:00am - 10:00am / End Times between 5:00pm - 7:00pm
Pay: $14.00/hr

Responsibilities:
Qualifications
--Serve as initial point of contact to all incoming patient profiling, medication updates by pharmacies, nurses and other healthcare provider.
--Utilize multi-media functions (phone calls, faxes, and e-mail and integration files) to accurately input patient profile eligibility, medical history, clinical data, and updates into company operation platforms.
--Assist pharmacies in claims processing by providing information needed to process claims and researches all information related to pharmacy rejections.
--Process medication overrides for dosage changes or RTS (refills too soon), etc.
--Input manual claim data into the database on claims outside of processing window.
--Input appropriate claim processing call tracking notes with each call received.
--Provide patient medication profiles to facility pharmacies.
--Troubleshoot and resolve pharmacy related issues for Client Services.
--Input appropriate call-tracking notes with each call, fax, e-mail, or integration received.
--Transfer HospiOnDemand clients to clinical pharmacists for consults and create work order tickets and consult notes for pharmacist request.
--Assign coverage, transfers patients, or trouble shoots rejections as directed by clinical pharmacists.
--Work all assigned discharges and censuses from the Discharge Data Base.

Working hours: 8:00 PM - 7:00 PM

Skills:
--Knowledge of proper telephone etiquette; previous call center experience preferred.
--Must have attention to detail with excellent problem solving and multi-tasking skills
--Computer literacy / data entry skills are required and proficiency in Microsoft Word, Outlook, and Excel
--Excellent written and verbal communication skills are required.
--Experience with image display software and web-based data entry software.
--Knowledge of Medical Terminology and ICD-10 Codes preferred.
--Knowledge of drug therapies. (Generic/Brand names, drug classes, sigs)
--Basic math and analytical skills.
--Possess a positive attitude and strong work ethic.
--Ability to work in a team environment and promote teamwork.
--Need to be able to work a flexible schedule including nights and weekends.

Education:
High School

Experience:
Entry Level

Qualifications:
Education and Experience
--Previous pharmacy technician experience highly desired, certification or licensure highly desired and/or related PBM business experience with knowledge of long term care pharmacy billing.
--Must have a High School diploma or equivalent. College or technical training a plus.


Please send resume to janelle.forystek@randstadusa.com

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
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