Benefit Customer Service Representative - Call Center - Work from Home!

A-Line Staffing Solutions

Job Description

Candidates MUST live in Illinois

Hiring Now for 5 Customer Service Representatives for a Work from Home position. Positions will be Work From Home/Remote, but candidates need to live in Illinois. 

Hours: Mon to Fri 7:30AM - 4:30PM

Pay Rate: $13.00-15.00/Hour

I have listed a brief Job Description for these Healthcare Customer Service Representative positions below for you to review. If you have any questions, or are interested in these positions, please send you resume directly to Brandon Wood at [Click Here to Email Your Resumé]. Thank you!

Job Description:

The Representative II will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of Aetna as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple channels] to the plan criteria defined through work instruction. Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases. Responsible for research and correction of any issues found in the overall process. Phone assistance is required to initiate and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance at all times with CMS and department standards. 

Job Requirements

  • Must be in State of Illinois
  • Call Center Experience 
  • Strong verbal communication skills
  • Microsoft Office experience