Search by job, company or skills

S
new job description bg glownew job description bg glownew job description bg svg
  • Posted 7 hours ago
  • Be among the first 10 applicants
Early Applicant

Job Description

Key Responsibilities:

1 Grievance Handling:

  • Investigate and resolve member grievances related to Medicare Part D drug coverage, claims, and pharmacy issues
  • Ensure all grievances are resolved within required CMS timelines and documented appropriately

2 Communication:

  • Act as a liaison between members, providers, and pharmacies for Medicare grievance resolution
  • Provide clear and empathetic communication throughout the grievance process

3 Compliance:

  • Adhere to all CMS (Centers for Medicare & Medicaid Services) guidelines and company policies
  • Maintain confidentiality of sensitive member information

4 Documentation

5 Collaboration

Qualifications:

  • Medical Allied Health graduate required (licensed/non licensed)
  • Minimum 1 year of experience in healthcare contact setting work experience (e.g., pharmacy technician, claims processor, provider services)
  • Experience handling grievances or healthcare-related customer support in a contact center setting
  • Amenable to work flexible schedules, including US hours and holidays
  • Amenable to work onsite at Bridgetown, Quezon city

Others:

  • Full-time employment
  • Full-Onsite (non-negotiable)
  • Fixed Night-shift
  • Competitive Salary + Sign-on Bonus + Benefits

More Info

Job Type:
Industry:
Function:
Employment Type:

About Company

Job ID: 136414991

Similar Jobs