Related skills
cms prior authorization phi hipaa pbm📋 Description
- Manage all incoming calls, emails, faxes, and web requests.
- Meet service levels: 80% within SLA; fewer than 5% abandon; under 30s.
- Rejection support, including overrides.
- Provide Coverage Determination status, including exceptions and appeals.
- Document PA requests and inquiries per policies.
- Address customer issues: complaints, payments, benefits, eligibility.
🎯 Requirements
- Associate’s Degree in Pharmacy Technician (or equivalent).
- 1+ year in pharmacy, PBM, or call center settings.
- Excellent oral and written communication; bilingual Spanish-English required.
- Remote work: stable internet and HIPAA-compliant workspace.
- 40 hours/week; any 8-hour shift 8am-8pm AST.
🎁 Benefits
- Diversity, equity, inclusion, and belonging are valued.
- Equal opportunity employer; participates in E-Verify.
Meet JobCopilot: Your Personal AI Job Hunter
Automatically Apply to Customer Support Jobs. Just set your
preferences and Job Copilot will do the rest — finding, filtering, and applying while you focus on what matters.
Help us maintain the quality of jobs posted on Empllo!
Is this position not a remote job?
Let us know!