Remote Insurance Verification Specialist, Specialty (Florida)

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Overview

Employer Industry: Pharmacy and Healthcare Services

Why consider this job opportunity

  • Salary up to $22.00 per hour
  • Opportunity for career advancement and growth within the organization
  • Work remotely anywhere within the state of Florida
  • Supportive and collaborative work environment
  • Chance to make a positive impact on customer satisfaction and patient care

Responsibilities

  • Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance-related phone calls.
  • Resolve questions and problems submitted by customers and PBM following established guidelines.
  • Assist physicians in the prior authorization process, including the initiation of prior authorizations.
  • Verify benefits for Major Medical via online resources or over the phone, ensuring payment of claims.
  • Document contact interactions, recording details, complaints, comments, and actions taken.

Qualifications

  • High school diploma or GED
  • Experience providing customer service in healthcare, specialty pharmacy, PBM, call center setting, or other related industry
  • Ability to communicate clearly and effectively (written and verbal) with good interpersonal skills
  • Basic level PC skills, including MS Windows and MS Office Suite
  • Must be available and punctual for scheduled work shifts

Preferred Qualifications

  • Experience providing customer service related to adherence and complex disease states
  • Experience in identifying operational issues and recommending strategies to resolve problems
  • Intermediate level PC skills, including MS Windows and MS Office Suite

#Pharmacy #HealthcareServices #CustomerService #CareerOpportunity #RemoteWork

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

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Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

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With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

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Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

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Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...