Senior Clinical Appeals Coordinator

Adecco Medical & Science is hiring Senior Clinical Appeals Coordinator! This role is in remote / work from home. Please read below and apply with an updated resume for consideration.
Type:                     One year contract, possibility for extension or fulltime offer
Schedule:             Monday through Friday, 8am to 4:30pm CST

(occasional 10:30am to 7pm CST shift)

Pay:                       $21.68 to $23.68 an hour
               
Responsibilities of the Senior Clinical Appeals Coordinator:

·         Excellent verbal and written communication skills with Pharmacists, Medical Directors, and Business Partners

·         Work efficiently to meet daily deadlines for appeal review Case Preparation, Case Pre-Closure, Outreach, and proper system documentation for every appeal

·         Work efficiently to meet deadlines when applicable for External Review Submissions, Peer-to-Peer Scheduling with proper system documentation

·         Model proper attendance and schedule adherence habits

·         Ability to remain focused to avoid incorrect appeal cases going for clinical review with minimal supervision

·         Meet departments production and quality standards while maintaining good working relationships

·         Work independently and as a team player to achieve individual and departmental goals

·         Ability to learn multiple Windows-based applications and appeals systems

·         Make outbound phone calls/faxes to collect clinical information for both E&I Commercial, E&I Medical Injectable, and new business product appeals

Qualifications for the Senior Clinical Appeals Coordinator:

·         High School Graduate or GED

·         Active and unrestricted Pharmacy Technician License in the state of residence or National CPhT

·         Two plus years of pharmacy technician experience

 

Why work for Adecco?

• Weekly Pay

• 401(k) Plan

• Skills Training

• Excellent medical, dental, and vision benefits

 

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

 

IMPORTANT: This Pharmacy Technician job is being recruited for by Adecco’s Medical and Science division, not your local Adecco Branch Office.

 

For opportunities available at Adecco Medical and Science go to www.adeccousa.com/industries/medical-and-science

Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/. The Company will consider qualified applicants with arrest and conviction record.

Pay Details: $21.68 to $23.68 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adeccousa.com/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.