Phoenix, Arizona, United States · Hybrid
Description The Pharmacy Customer Service Advocate assists member, providers, and pharmacies with inquiries for member’s eligibility, claim status, precertification requirements, and claims coverage questions by phone, f…
Skills: Customer service, Claims processing, Critical thinking, Problem-solving, HIPAA compliance
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The Pharmacy Customer Service Advocate assists members, providers, and pharmacies with inquiries regarding eligibility, claim status, and benefit coverage. They are responsible for maintaining accurate documentation, ensuring HIPAA compliance, and resolving issues through effective communication and critical thinking.
Candidates must have a high school diploma or equivalent and at least 2 years of customer service or claims experience in the health insurance industry. Proficiency in medical or pharmaceutical terminology and experience with electronic documentation software are required.
Description
The Pharmacy Customer Service Advocate assists member, providers, and pharmacies with inquiries for member’s eligibility, claim status, precertification requirements, and claims coverage questions by phone, fax, email, and US mail, working independently within the scope of their duties. The Customer Service Advocate coordinates the handling of numerous daily, time-sensitive functions required to maintain an efficient workflow and direct all maters to a proper resolution.
Advanced Medical Pricing Solutions (AMPS) provides market leading healthcare cost containment services for self-funded employers, public entities, brokers, TPAs, payers and many other entities. As we continue to grow, we look for driven professionals who share our core values.
We take a “one team” approach to keeping clients satisfied and engaged with our products and services for the long-term.
Requirements
Amplifying healthcare savings by delivering tech-enabled solutions for employers, payers, and the members they serve.
Advanced Medical Pricing Solutions (AMPS) is a diversified healthcare technology company supporting transparent, affordable medical and prescription benefits through proprietary software as a service (SaaS) products and tech-enabled services offered across the healthcare payer and employer markets. The company offers a range of products including prospective payment integrity software, high-dollar medical bill review, claim repricing software, reference-based pricing software and services, and transparent pharmacy benefits management, through its business units: ClaimInsight, PriceDynamix, and Drexi. AMPS serves self-insured employers, health plans, TPAs, and individual market aggregators throughout the United States. For more information, visit www.amps.com.
Offices: 2700 N Central Ave, Suite 1400, Phoenix, Arizona 85004, US · 100 Kimball Pl, STE 150, Alpharetta, Georgia 30009, US
Amplifying healthcare savings by delivering tech-enabled solutions for employers, payers, and the members they serve.
Advanced Medical Pricing Solutions (AMPS) is a diversified healthcare technology company supporting transparent, affordable medical and prescription benefits through proprietary software as a service (SaaS) products and tech-enabled services offered across the healthcare payer and employer markets. The company offers a range of products including prospective payment integrity software, high-dollar medical bill review, claim repricing software, reference-based pricing software and services, and transparent pharmacy benefits management, through its business units: ClaimInsight, PriceDynamix, and Drexi. AMPS serves self-insured employers, health plans, TPAs, and individual market aggregators throughout the United States. For more information, visit www.amps.com.
Offices: 2700 N Central Ave, Suite 1400, Phoenix, Arizona 85004, US · 100 Kimball Pl, STE 150, Alpharetta, Georgia 30009, US
