Description
Who We Are: MedOne is a full-service pharmacy benefit manager (PBM) serving clients and members nationwide. Our fully transparent pass-through model ensures people have convenient access to the most appropriate prescriptions at the most affordable prices.
What You'll Do: As a Data Entry Specialist, you will perform technical functions in supporting the daily operations of MedOne Clinical Services.
Responsibilities
- Support operations of MedOne Clinical Services
- Initiate Prior Authorization requests
- Review incoming Prior Authorization documentation for completeness
- Prepare clinical review documentation for review by a MedOne Clinical Pharmacist
- Communicate clinical review decisions to pharmacies and providers
- File completed Prior Authorization documentation
- Enter Clinical Review determination into the claims processing system(s)
- Communicate the status of Clinical Reviews with patients
- Update Clinical Authorization Criteria and Clinical Review Request Forms under the direction of a Clinical Pharmacist
Position Requirements
- Must be detail-oriented and precise
- Must have excellent interpersonal, written, and verbal skills
- Strong customer service and teamwork skills
- Must have a strong understanding of Microsoft Office (Word, Excel, PowerPoint)
- Must be able to type at a minimum of 30 words per minute
- Must be able to work independently, meets deadlines, establish priorities, and be flexible
Why Join MedOne?
- Competitive salary and bonuses that reward your performance.
- Comprehensive health, dental, and vision insurance.
- 401(k) with company match to secure your future.
- Generous paid time off and holidays.
- Opportunities for professional growth and development.
- A vibrant and collaborative work culture.
Location: We have offices in either Dubuque, IA or Kansas City, MO, or the position can be remote within the United States
Employment Type: Full-Time, Hourly Position
How to Apply: If this sounds like you, we encourage you to apply today! You can submit your application through our careers page.
MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Offers are contingent on passing a background check and drug screen.