KELLY SERVICES IS HIRING30+ INSURANCE ANALYSTSFORA VIRTUALCALLCENTERIN NORTH CHICAGO, IL

I am conducting phone interviews. If you're interested in moving forward with the interview process, you canset up a phone interview with me via the following link:.

Please send me your resume in a word document as well as 2 references before the scheduled interview. If you have any questions, we will answer each one during our interview. I look forward to speaking with you. Thank you!

Job title: Insurance Analyst I

Work location: North Chicago, IL

Hourly pay: $17.00

#Ofpositions: 30,$100 is offered to anyone whorefers someone who works 80 hours

Environment: 100 % Remote,Call Center

Shifts &Traininghours:

• Monday-Friday
• Training hours are 8 am-4:30 pm.
• Call Center hours are 7am-7pm(Must be available to work all call center hours)
• Once released to the floor, theshiftwill be 10:30 am to 7 pm
• Additional later shifts may be added to support the business.
• Periodic mandatory Overtime

Qualifications

• Industry or call center experience not required
• Good personality fit is the most important requirement
• Abilityto balance between the insurance agents and the patients
• Basicproficiencytechnological skills
• Must pass the certificationafter the 2-3-month training period
• Seekingenthusiasticindividualswho want a job
• There will be room for growth and advancement opportunitieswithinthe company

Jobdescription

• Providebest-in-class customer services to patients, Health Care Providers (HCPs) and their staff through referral and call management by investigating patients' insurance benefits and financial assistance opportunities, in addition to processing and monitoring prior authorizations to assist the patient in starting or continuing therapy.
• Be the subject matter expert in insurance billing, claims processing, and prior authorizations.
• Liaisonbetween departments, payors, and providers to comprehensively determine patients' overall prescription coverage.
• Handle patient requests received by phone or electronically and would complete related outbound calls.
• This position works collaboratively with other areas of the Pharmacy to maximize patients' access to care.

Job Responsibilities

• Provide subject matter expertise on medical and prescription insurance coverage/ verification, claim billing, medication prior authorization and appeal filing, and alternate financial assistance opportunities.
• Accurately documents information in the appropriate systems and formats.
• Communicate the status of the referral to the physician and the patient via phone, fax, and/or the core pharmacy system as per established policies and procedures.
• Assist offices through the entire documentation and filing process for prior authorizations and appeals. Monitor the status to ensure a rapid turnaround resulting in procurement of the drug product for the patient.
• Use internal and web tools and communicate and collaborate with health insurance payors and providers to investigate pharmacy and medical benefits.
• Obtain and confirm information to maintain Pharmacy Solutions' payor intelligence resources.
• Meet or exceed department standards relative to performance metrics.
• Take responsibility and accountability for the day-to-day execution of tasks and is responsible for providing periodic progress reports on goals and metrics.
• Work cross-functionally to identify and share opportunities for process and productivity improvement and to troubleshoot and/or resolve situations, taking ownership as needed.
• Decide whether to reinvestigate or accept obtained benefit verification based on reasonableness and accuracy.
• Determine whether to escalate issues/concerns to management for review, guidance, and resolution.
• Participate in quality monitoring and in identifying and reporting quality issues.
• Enter patient demographic and health insurance information into the hub information system and notify the physician of any incomplete or incorrect insurance information
• Understand and comply with all required training, including adherence to federal, state, and local pharmacy laws, HIPAA policies and guidelines, and the policies and procedures of Pharmacy Solutions and the company.
• Identifies potential Adverse Event situations for reporting to a specific department ensuring the company meets FDA regulations.
• Completes all required training and performs all functions in the position e.g., Soft Skills certification, product, and disease overviews.
• Performadditionaltasks, activities, and projects asdeemednecessary by management.

Please complete the questions below at your earliest convenience.Once completed,email your questionnaire and your resume to.

• The Pharmacy Solutions hours of operation are 7am-7pm. Are you comfortable working a shift within that timeframe? FYI- The most likely shift currently, is 10:30am-7pm.

Answer:

• Pharmacy Solutions is a call center environment in which you will be taking 50-100 calls a day. Is this something you are comfortable with?

Answer:

• A lot of the patients and calls you are handling are with patients who are experiencing severe illness and hardship times, tell me how you would deal with a customer who might be experiencing difficulties and are very frustrated on the phone?

Answer:

• What kind of computer systems or softwarehave you become familiar with?

Answer:

• What would be an appropriate number of days to call off work in a 90-day period?

Answer:

• What is an acceptable reason to call off?

Answer:

• Have you had a position where there was a quality measurement? How did you work to meet those?

Answer:

• Available time to phone interview Monday-Friday?

Answer:

• What is the best number to reach you at for an interview?

Answer:

Iam conducting phone interviews. If you're interested in moving forward with the interview process, you can set up a phone interview with me via the following link:. Please send me your resume in a word document as well as 2 references before the scheduled interview. If you have any questions, we will answer each one during our interview.I look forward to speaking with you. Thank you!

Kind Regards,

Michelle Barnard

Recruiting Account Manager

Email

Work+1 248 587 8753 (Text Only)

Work+1 312 915 4841 (Call & Text available)

Webkellyservices.com

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About Kelly

At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

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