Good day!

This is Glacier from Medical Recruitment Strategies.

One of our clients is looking for an Pharmacy Appeals Representative II

Location: San Antonio, TX.

Job Type: Contract-Full Time

Pay rate: $15.50-16.00/hr.

Job Responsibilities:

∙ Utilizing multiple software systems to complete Medicare appeals case reviews

∙ Meeting or exceeding government mandated timelines

∙ Complying with turnaround time, productivity and quality standards

∙ Conveying resolution to beneficiary or provider via direct communication and professional correspondence

∙ Acquiring and maintaining basic knowledge of relevant and changing Med D guidance

Required Qualifications:

∙ Accountable and results driven

∙ Critical thinker/problem solver

∙ Receptive to constructive feedback and flexible in adapting to change

∙ Ability to effectively plan, prioritize, and organize time and workload

∙ Ability to execute successfully in a deadline-oriented, fast-paced, highly-regulated environment

∙ Proficient in navigation of multiple computer applications

∙ Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors

∙ Ability to type more than 30 WPM

Preferred Qualifications:

∙ At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service

∙ Six months of PBM/pharmaceutical related work strongly desired

Education:

∙ High School Diploma or GED required

∙ Bachelor's degree in related field or equivalent work experience preferred

If you are interested, please respond with your UPDATED RESUME so I can immediately assist you.

Please reach out to me for further details

You may call me at 978-296-0854

You may email me at

​​​​​​​Thank you and hope to hear from you soon!