*Representative II
May Street Woonsocket, RI 02895 US
Job Description
Representative II
Address:
US
Job Description
- Utilize multiple software systems to complete Medicare Prior Authorization case reviews.
- Meet or exceed government mandated timelines.
- Comply with turnaround time, productivity, and quality standards.
- Acquire and maintain basic knowledge of relevant and changing Med D guidance.
- Provide excellent verbal and written communication while maintaining patient confidentiality.
- Manage data entry accurately and navigate multiple computer applications, often using two screens.
- Work independently in a fast-paced, high-pressure environment with attention to detail.
- Remote position with fully remote work environment; dedicated quiet workspace with wired internet meeting minimum speeds of 25mbps download and 5mbps upload.
- Training hours are 9am-5:30pm EST for the first 8 weeks, then rotating shifts between 8am-8pm EST, Monday to Friday, with rotating weekends.
- Availability for full-time work during training; no planned time off during initial 8 weeks.
- Must have a dedicated workspace, reliable internet, and the ability to focus without interruptions.
- Work involves data entry, navigating multiple applications, and possibly outbound calls.
- High School Diploma or GED required.
- Associate degree in Business, Accounting, or equivalent work experience preferred.
- Successfully worked independently in a data-driven role preferred.
- Pharmacy or medical background is a plus.
- 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.