Related skills
cms excel microsoft office outlook medicare📋 Description
- Review CD requests for Medicare/Commercial plans.
- Receive calls from pharmacies, physicians, and members on CD status.
- Initiate calls to physicians, pharmacies, and members for additional information.
- Document CD inquiries, status, and resolution per policy.
- Support pharmacists in gathering information for exceptions.
- Ensure CMS/Medicare compliance in coverage determinations.
🎯 Requirements
- Associate degree in Pharmacy Technician.
- 1+ years customer service experience.
- Proficiency with Microsoft Office (Outlook, Excel, PowerPoint, Word).
- Excellent English and Spanish communication skills.
- Available to work rotating shifts including nights, weekends, and holidays.
- Available to work in a hybrid model with some on-site days.
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