Representative II

New

Adecco is currently assisting a local client in their search to fill an exciting Representative II role in Solon, OH! Apply now if you meet the qualifications listed below!

 

Representative II

3 months (contract)

Availability from 10am - 10pm but an 8 hr daily shift. Weekend rotation required- Sat & Sunday.

$13.50 / hr.

 

Specific Duties

  • The client Representative II will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of CVS as the client and in accordance with Medicare Part D CMS Regulations
  • Must apply information [provided through multiple channels] to the plan criteria defined through work instruction
  • Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases
  • Responsible for research and correction of any issues found in the overall process
  • Phone assistance is required to initiate and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed
  • Must maintain compliance at all times with CMS and department standards
  • Position requires schedule flexibility including rotations through nights, weekend and holiday coverage

 

Must Have:

  • High School Diploma or equivalent
  • 6+ months of healthcare experience
  • Problem solving skills, analytical ability
  • Strong written communication and interpersonal skills
  • Detail oriented and excellent organizational skills
  • Proficient computer skills and the ability to navigate in a Windows based environment
  • Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible
  • Ability to work in a high pressure, time sensitive environment
  • Demonstrated problem-solving ability and attention to detail
  • Demonstrated sense of urgency with assignments
  • Strong organizational skills
  • Ability to read and understand pharmacy/medical terminology

 

How to Apply: Click on “Apply Now” to be considered for this position or any other opportunities with Adecco.

 

IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above. For other opportunities, available at Adecco go to www.adeccousa.com.

 

If you have any questions surrounding the application process, please feel free to reach out to Malisa Castillo at malisa.castillo@adeccona.com.

 

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

 

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

 

  • Apply with Adecco

Reference number US_EN_99_022862_521233