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Customer Service Representative

Company: Aerotek
Location: Appleton
Posted on: August 22, 2020

Job Description:

Position Title

Member Services Specialist

Job Description

* Understand, apply, and communicate client-specific prescription benefit and pharmacy claim processing information to include things like:

o formularies (list of covered medications),

o clinical programs to improve health and reduce costs,

o member out of pocket costs

o appeal rights

o prior authorization/exception processes

o and much more

* Educate members on how to best utilize their benefits

* Troubleshoot pharmacy claims real-time to include verifying information the pharmacy submits, comparing the claim result to benefit rules, and entering allowed overrides to allow claims to pay

* Send documents to providers electronically

* Follow up and provide superior service through outbound calls as necessary

* Anticipate and address questions to prevent repeat calls in order to delight customers and reduce customer effort

Hours

Training: 8AM-4:30PM

Once done with training must be open to working at 8 hour shift as late as 8PM

Pay

$15/hour

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email accommodation@aerotek .com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aerotek, Appleton , Customer Service Representative, Other , Appleton, Wisconsin

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