ESSENTIAL FUNCTIONS

• Prior Authorizations - Initiation, submission, PA tracking, provider responses, and act as back up to Clinical Manager on determinations.
• Data Entry - Update eligibility as required, enter PA Overrides, maintain PA Process Log.
• Phone Back-up - Supports account management in live answering member and pharmacy calls.
• Data Entry
• Manage day to day member relationships through comprehensive knowledge of client's benefit plan and Medtipster product offerings.
• Daily interaction with members, clients, consultants and producers providing preventative analysis and issue resolution associated with Medtipster services.
• Responsible for timely and accurate management and execution of all client benefit requests, including eligibility changes, new groups, terminations and escalated issues.

QUALIFICATIONS

• Bachelor's degree preferred but not required.
• Valid State of Michigan Pharmacy Technician license
• Two years' experience in customer service industry, healthcare, or pharmacy required.
• PC skills including proficiency in Microsoft Outlook, Word, and Excel as well as internet experience.
• Excellent written and verbal communication and phone etiquette skills required.
• Exceptional data entry skills with a strong attention to detail.
• Strong analytical and problem-solving skills.
• Demonstrated ability in managing projects utilizing proven project management practices.
• Ability to work cross-functionally, to proactively communicate and to resolve issues with the highest sense of urgency. 

Two professional references required!

Qualifications

• Associate (Preferred)
• Microsoft Excel: 1 year (Preferred)
• Microsoft Office: 1 year (Preferred)
• US work authorization (Preferred)

ESSENTIAL FUNCTIONS

• Answering Phones
• Data Entry
• Manages day to day member relationships through comprehensive knowledge of client’s benefit plan and Medtipster product offerings.
• Daily interaction with members, clients, consultants and producers providing preventative analysis and issue resolution associated with Medtipster services.
• Responsible for timely and accurate management and execution of all client benefit requests, including eligibility changes, new groups, terminations and escalated issues.

QUALIFICATIONS

• Bachelor’s degree preferred but not required.
• PC skills including proficiency in Microsoft Outlook, Word, and Excel as well as internet experience.
• Excellent written and verbal communication and presentation skills specifically regarding email and phone.
• Exceptional data entry skills with a strong attention to detail.
• Strong analytical and problem-solving skills.
• Strong focus on book of business client satisfaction and client retention results. Demonstrated ability managing projects, utilizing proven project management processes.
• Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency.

Two professional references required!