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KELLY SERVICES IS HIRING 12+ INSURANCE ANALYSTS FOR A CALL CENTER IN NORTH CHICAGO, ILI am conducting phone interviews. If you're interested, email me your resume at dank206@kellyservices.com and schedule and interview at https://calendly.com/dank222/15minPlease send me your resume in a word document as well as 2 references before the scheduled interview. If you have any questions, we will answer each one during our interview. I look forward to speaking with you. Thank you!Job title: Insurance Analyst IWork location: North Chicago, ILHourly pay: $17.00# Of positions: 12, $100 is offered to anyone who refers someone who works 80 hoursEnvironment: 3 weeks Remote, 1 week in the office a month, Call CenterDepartment: AP5-Abbvie Access Support/Pharmacy SolutionsSkills/experience needed :Insurance, healthcare, & medical background is key
Better understanding of call volume – it’s high!
Empathy & patience – customers are desperate/frustrated
Verifying insurance – know the terminology!
Attention to detail
Ability to deescalate
Good communication
Call center experience is good BUT customer service experience better
Office setting background – ex. doctor’s office
Insurance experience
Prior authorization experience
Computer savvy / technical skills
Critical thinking
Shifts & Training hours:· Monday-Friday· Training hours are 8 am-4:30 pm.· Call Center hours are 7am-7pm (Must be available to work all call center hours)· Once released to the floor, the shift will be 10:30 am to 7 pm· Additional later shifts may be added to support the business.· Periodic mandatory Overtime· Business is currently working remotely until stay home order has been lifted.· Business will determine timeline for organization and how agents will support either from home or in officeQualificationsHigh school diploma or GED equivalent required. Degree preferred.
1-3 years of work experience in a healthcare or reimbursement setting; call center preferred.
Previous experience in a call center environment, healthcare office, corporate setting, or healthcare insurance provider or pharmacy is highly desirable.
Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.
Demonstrated ability to lead and participate within a team, manage multiple priorities, and meet associated timelines while maintaining accuracy.
Demonstrated strong, accurate technical skills. Must be detail oriented. Professional written and verbal communication skills required. Ability to maintain a positive service image at all times even when dealing with challenging issues and unsatisfied customers.
Proven organizational and problem solving skills, elevating to management when appropriate.
Skilled with the use of the Microsoft Office suite and the ability to use and effectively learn and navigate other computer systems.
Job description· Provide best-in-class customer services to patients, Health Care Providers (HCPs) and their staff through referral and call management by investigating patients’ insurance benefits and financial assistance opportunities, in addition to processing and monitoring prior authorizations to assist the patient in starting or continuing therapy.· Be the subject matter expert in insurance billing, claims processing, and prior authorizations.· Liaison between departments, payors, and providers to comprehensively determine patients’ overall prescription coverage.· Handle patient requests received by phone or electronically and would complete related outbound calls.· This position works collaboratively with other areas of the Pharmacy to maximize patients’ access to care.Job Responsibilities· Provide subject matter expertise on medical and prescription insurance coverage/ verification, claim billing, medication prior authorization and appeal filing, and alternate financial assistance opportunities.· Accurately documents information in the appropriate systems and formats.· Communicate the status of the referral to the physician and the patient via phone, fax, and/or the core pharmacy system as per established policies and procedures.· Assist offices through the entire documentation and filing process for prior authorizations and appeals. Monitor the status to ensure a rapid turnaround resulting in procurement of the drug product for the patient.· Use internal and web tools and communicate and collaborate with health insurance payors and providers to investigate pharmacy and medical benefits.· Obtain and confirm information to maintain Pharmacy Solutions’ payor intelligence resources.· Meet or exceed department standards relative to performance metrics.· Take responsibility and accountability for the day-to-day execution of tasks and is responsible for providing periodic progress reports on goals and metrics.· Work cross-functionally to identify and share opportunities for process and productivity improvement and to troubleshoot and/or resolve situations, taking ownership as needed.· Decide whether to reinvestigate or accept obtained benefit verification based on reasonableness and accuracy.· Determine whether to escalate issues/concerns to management for review, guidance, and resolution.· Participate in quality monitoring and in identifying and reporting quality issues.· Enter patient demographic and health insurance information into the hub information system and notify the physician of any incomplete or incorrect insurance information· Understand and comply with all required training, including adherence to federal, state, and local pharmacy laws, HIPAA policies and guidelines, and the policies and procedures of Pharmacy Solutions and the company.· Identifies potential Adverse Event situations for reporting to a specific department ensuring the company meets FDA regulations.· Completes all required training and performs all functions in the position e.g., Soft Skills certification, product, and disease overviews.· Perform additional tasks, activities, and projects as deemed necessary by management.Please complete the questions below at your earliest convenience. Once completed, email your questionnaire and your resume to dank206 @kellyservices.com (micb481@kellyservices.com) .Questionnaire:1. The Pharmacy Solutions hours of operation are 7am-7pm. Are you comfortable working a shift within that timeframe?Answer:2. Pharmacy Solutions is a call center environment in which you will be taking 50-100 calls a day. Is this something you are comfortable with?Answer:3. A lot of the patients and calls you are handling are with patients who are experiencing severe illness and hardship times, tell me how you would deal with a customer who might be experiencing difficulties and are very frustrated on the phone?Answer:4. What kind of computer systems have you become familiar with?Answer:5. What would be an appropriate number of days to call off work in a 90-day period?Answer:6. What’s an acceptable reason to call off?Answer:7. Have you had a position where there was a quality measurement? How did you work to meet those?Answer:8. Do you have reliable transportation?Answer:9. Do you have any scheduled time off within the first 90 days of the assignment?Answer:Please Note:Training is 4-6 weeks (fully remote). Once the training is complete, your AbbVie manager will divide the class into 4 different groups (A, B, C, D). Then, one group at a time will be onsite while the other three groups work remotely. Each week a new group will be onsite for a week. This will equal to about one week per month employees will work onsite.10. Please confirm that candidate understands and it comfortable with this process by indicating yes or no:Answer :If you're interested, email me your resume at dank206@kellyservices.com and schedule and interview at https://calendly.com/dank222/15minWhy Kelly ® ?You’re looking to keep your career moving onward and upward, and we’re here to help you do just that. Our financial staffing experts will connect you with premier companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in in your career. It all adds up.About Kelly ®At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.
Full-time