*Representative II
Posted 08/13/2026
Job ID:
173228
Job Description
Job Title:
Representative II
Address:
Working Offsite from Caremark Location, RI
Job Description
Representative II
Address:
Working Offsite from Caremark Location, RI
Job Description
- Support Medicare members, prescribers, and providers by processing coverage-related requests across phone and fax channels.
- Accurately set up cases, review documentation, and ensure correct and timely processing.
- Conduct outbound calls to gather missing information for coverage-related requests.
- Document all case activity accurately across systems, ensuring compliance with CMS guidelines.
- Collaborate with peers and management while progressing through training and skill development.
- Work independently in a data entry role, managing multiple applications while focusing on productivity.
- Shift hours are between 7:00 AM - 8:00 PM CST, Monday through Friday, with rotating weekend shifts required.
- This is a remote position; candidates must have a quiet and secure workspace and a reliable high-speed internet connection.
- Verifiable High School Diploma or GED required.
- Associate's degree in Business or related field preferred.
- Benefits are available to full-time employees after 90 days of employment.
- A 401(k) with company match is available after 1 year of service.
- This is an AI-formatted job description; recruiter confirmation required.
About Woonsocket, RI
Explore exciting job opportunities near Woonsocket, Rhode Island! Nestled in the picturesque New England region, Woonsocket offers a charming blend of historic charm and modern opportunities. With landmarks like the stunning Museum of Work & Culture, vibrant arts scene at the Stadium Theatre Performing Arts Centre, and delectable cuisine options ranging from classic clam bakes to trendy food trucks, this area promises a fulfilling career and a quality lifestyle. Join the proud community supporting local teams like the Pawtucket Red Sox at McCoy Stadium and savor outdoor adventures at the scenic World War II Veterans Memorial Park. Start your professional journey in Woonsocket, where every day offers a new chapter of growth and success.