Job Details
Location:
Rancho Cordova, Sacramento County, California, 95670, USA
Posted:
Nov 10, 2019
Job Description
Position Purpose: Handle inbound and outbound calls from members, providers and pharmacies regarding prior authorization status, member initiated requests, checking status of prior authorizations and Pharmacy benefit inquiries.
Receive and respond to incoming calls from members, providers and pharmacies requesting prior authorization status.
Make outbound calls to providers to confirm information and initiate Member Coverage Determination Requests.
Fax prior authorization forms to providers.
Assist with answering questions regarding Medicare Part D formularies.
Handle temporary supply overrides for Medicare, Medicaid and Commercial plans, including placing an override on the members file to allow the member to obtain medications, as necessary.
About Centene
Centene is a multi-line health care enterprise offering Medicaid managed care and specialty services.
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