Pharmacy Help Desk Representative

Job Summary

A company is looking for a Help Desk Representative - Pharmacy - Remote US.

Key Responsibilities

• Provide consultancy on insurance and healthcare policies, ensuring compliance with state and federal laws
• Investigate and adjudicate claim characteristics, responding to provider appeals and resolving issues
• Approve remedial actions for escalated claims and advise healthcare groups on insurance-related matters

Required Qualifications

• 2-4 years of experience in related fields
• Office administrative experience and skills
• Intermediate-level knowledge of operating systems
• Ability to follow policies and provide feedback to leadership
• Self-motivated with time management and organizational skills