Kentucky Licensed Member Care Representative

A company is looking for a Member Care Representative - Remote - Central. Key Responsibilities Handle inquiries and claims processing from members, clients, and pharmacies Support clinical care by processing Prior Authorization requests and assisting members with medication alternatives Provide account support through QA testing and maintaining pharmacy contact information Required Qualifications Customer service experience Knowledge of claims processing is helpful High School Diploma and/or college degree in a related field preferred Pharmacy technician experience preferred, but not required Strong computer skills, including Microsoft Office

Apr 1, 2025 - 15:25

A company is looking for a Member Care Representative - Remote - Central. Key Responsibilities Handle inquiries and claims processing from members, clients, and pharmacies Support clinical care by processing Prior Authorization requests and assisting members with medication alternatives Provide account support through QA testing and maintaining pharmacy contact information Required Qualifications Customer service experience Knowledge of claims processing is helpful High School Diploma and/or college degree in a related field preferred Pharmacy technician experience preferred, but not required Strong computer skills, including Microsoft Office