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Quality Assurance Analyst (JO-2111-139808)

Company: Ultimate Staffing Services
Location: Kissimmee
Posted on: November 16, 2021

Job Description:

Ultimate Staffing Services is a business line of Roth Staffing Companies L.P., one of the largest privately held staffing companies in the USA. We are currently hiring for a Quality Assurance Analyst for our Pharmacy Benefits Management Client. This is expected to be a 4-month contract, expected to last through Q1 2022. This is a Remote, work from Home Opportunity.

Shift Hours: 8am to 4:30pm CST Monday Through Friday (Overtime will be required during peak volume season, Saturdays required starting in January)
Pay Rate: $20 Per hour
Contract Length- 4 Months (could go longer)
Daily Responsibilities

  • Leverages in depth understanding of client pharmacy benefit plans in order to deliver customer service to pharmacies via telephone, through electronic mail and/or through the use of online databases
  • Investigate claim status and ensure claims in question will adjudicate correctly prior to conducting outreach to a pharmacy
  • Establish trust and effective business relationships with network pharmacies by providing claim research, leveraging benefit plan information, ensuring accurate claims processing and striving for member and network satisfaction
  • Consolidate outbound calling campaigns to effectively communicate with pharmacies and reduce duplicative calls, partner with the Network Operations team to ensure outbound calling campaigns are conducted within the regulatory or client contractual guidelines, and participates in one-time calling campaigns as assigned by Network Operations management
  • Maintain accurate records regarding the results of outreach to pharmacies in support of publications or reporting for internal stakeholders and/or clients, and create and send client outreach reports to clients
    Requirements:
    • 2 years' experience, customer service (preferably within call center outbound or inbound)
    • Pharmacy Background - preferred, not required
    • Microsoft Excel / Outlook

      We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Keywords: Ultimate Staffing Services, Kissimmee , Quality Assurance Analyst (JO-2111-139808), Professions , Kissimmee, Florida

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