Georgia Licensed Coverage Review Representative

Job Summary

Working remotely in a full-time capacity, the Georgia Licensed Coverage Review Representative will assist members and healthcare providers with prescription medication coverage inquiries, eligibility verification, and prior authorization processes.

Key responsibilities:

• Answer inbound calls and provide information regarding prescription medication benefits and coverage
• Verify member eligibility and assist with understanding medication coverage options and prior authorization requirements
• Document interactions and update records accurately in multiple systems while delivering professional customer service

Required qualifications:

• High school diploma or equivalent
• At least 6 months of call center experience
• At least 1 year of experience in healthcare, medical claims, or medical administration
• Working knowledge of medical and healthcare terminology
• Proficiency with Microsoft Windows and Microsoft Office applications