MINIMUM JOB REQUIREMENTS:
- Ability to read, write, speak and understand the English language.
- Prior experience in training, lead roles, or supervisory experience within a contact center or customer facing environment
PREFERRED EDUCATION AND EXPERIENCE
- Nationally certified through the PTCB or another approved certifying agency
- Experience with drug reimbursement issues and claim adjudication process
- Experience with insurance benefits investigations; knowledge of U.S. Private and Government payers
- Experience with HIPAA, PDMA, cGMP adverse events
KNOWLEDGE, SKILLS & ABILITIES:
- Excellent written and verbal communication skills.
- Excellent analytical, problem solving and decision-making skills.
- Ability to accept changing workflows and unexpected demands requiring flexibility.
- Ability to work under pressure and appropriately prioritize responsibilities.
- Ability to work independently with minimal supervision.
- Ability to develop collaborative working relationships.
- Ability to prepare and write investigational reports for management review.
- Working knowledge of current including Good Documentation Practices, and Good Distribution Practices.
- Able to use Microsoft Excel and Word at the following levels:
- Word – low-Intermediate Level: This level of skills is sufficient to perform daily word processing tasks, such as, producing routine letters, memorandums, and informal reports. A person with this level of skills is able to use basic formatting, editing, printing functions and understands the document page setup. Should also be knowledgeable of “Mail Merge” functions for creating labels, envelops and letters by merging information from data sources, and should be able to create custom forms.
- Excel – low-Intermediate Level: Should be able to execute simple formulas, utilize pivot tables, sort, and analyze data to compile reports and present data to management.
- Proficient in use of computers and ability to learn internal software programs.
- Ability to use a calculator to perform basic math functions and understands the concept of same including: add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals; compute ratio, rate and percent.
PHYSICAL DEMANDS:
- Location of job activities 100% inside
- Extensive manual dexterity (keyboarding, mouse, phone)
- Constant use of phone for communication
- Noise and/or vibrations exposure
- Frequently reach (overhead), handle, and feel with hands and arms
- Sit for prolonged periods of time
- Occasionally stoop, kneel, and crouch
- Occasionally lift, carry, and move up to 25 pounds
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The expected base ♥pay range for this position is $22-$26 per hour. The actual compensation for the position may vary based on market differences and on factors such as skills, experience, qualifications and can vary based on location and/or work schedule. In addition to base pay, CareTria offers a comprehensive benefits package. Full-Time benefits include access to health, dental, and vision insurance; retirement plan options; paid time off; paid parental leave; employee assistance programs; and other perks. Eligible employees may also have access to performance bonuses.
CareTria is an Equal Opportunity Employer.