Coverage Determination Specialist - Temp

Added
30 days ago
Type
Contract
Salary
Salary not provided

Related skills

excel microsoft office powerpoint word bilingual english spanish

πŸ“‹ Description

  • Review and respond to CD requests for Medicare/Commercial plans.
  • Receive calls from pharmacies, physicians, and members on CD status.
  • Initiate calls to providers when additional information is required.
  • Generate calls, faxes, and letters to providers regarding CD resolutions.
  • Document CD inquiries, status, and resolutions per policies.
  • Review faxes and emails and create new cases for Medicare/Medicaid or Commercial plans.

🎯 Requirements

  • Associate degree in Pharmacy Technician; in lieu of degree, equivalent work experience may be considered.
  • 3+ years of customer service experience.
  • Experience with Microsoft Office tools (Outlook, Excel, PowerPoint, Word).
  • Available to work rotating shifts, including nights, weekends, and holidays.
  • Excellent oral and written communication; English and Spanish required.
  • Certified Pharmacy Technician license is preferred.
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