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Claims Benefit Specialist
Ref No.: 18-11293
Location: Orlando, Florida
Start Date / End Date: 09/17/2018 to 09/16/2019
Duration:0-12 month(s)

Description/Comment:The hourly pay rate for this position is $15.50.
• Claims Benefit Specialist- (Member Pay Services) - This is the Job Title.
• Must be available to work a flexible schedule between the hours 8am-8pm EST on site Monday- Friday.
• Candidate must be comfortable working in a Call Center environment in a Specialty Pharmacy capacity.
• 1-2 years or more of experience of collection practices
• Proficient with all Microsoft Office Platforms
• Strong problem resolution skills
• Ability to manage multiple priorities, adapt to change, proactively identify and resolve issues and be a team player
• Ability to learn new techniques and procedures quickly and execute them within your daily function
• Understand pharmacy/medical terminology
• Must have a positive attitude and work well in a collaborative team environment
• Assist with the departmental workflow with a sense of urgency
• Handle Reimbursement specific incoming/outbound calls related to member pay, Pharmacy Claims, Medical Claims, Medicare, Medicaid and Co Pay Assistance.
• Assist with the Member Pay Collections, Payment Plan and Credit Hold queues
• Assist with collecting member pay balances and setting up payment plan options when applicable
• Navigate a variation of platforms to provide the most accurate answers to the inbound callers
• Proof entire claim submission to determine, review coverage benefits and discrepancies
• Assist in deescalating calls as receive by providing the best in class service
• Stay current with department policies and procedures