License Verification Representative

Job not on LinkedIn

🕒 Yesterday

☕ Washington – Remote

infoinfo

💵 $35.1k - $54.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Apply Now
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Logo of Healthfirst

Healthfirst

1001 - 5000 employees

Founded 1993

⚕️ Healthcare Insurance

🏥 Healthcare

Healthcare Insurance • Healthcare

Healthfirst is a New York–based health insurance organization that provides Medicare Advantage, Medicaid managed care (including dual-eligible D-SNP), individual & family plans, and long-term care options. The company emphasizes affordable local care with plans offering low or $0 premiums and copays, 24/7 telemedicine, OTC Plus benefits, access to a large provider network (noted as 100,000+ provider locations), community offices, and member resource centers. Healthfirst highlights community engagement, hyperlocal approach, interoperability/API support for providers, and resources for brokers and members.

📋 Description

• Verify applicable federal and state licensing documentation to release orders for prescription products • Review Rx and controlled substance pending orders to verify customer registration and license information • Contact customers to request updated DEA and/or state license copies • Update account information for quick release of pending orders • Open accounts or create additional subaccounts on existing accounts as required • Close accounts that are no longer valid • Reprocess orders when a controlled drug is entered on the wrong ship-to address • Review and activate new customer accounts • Review potentially fraudulent orders and communicate with external department contacts as needed • Contact customers for proper documentation and additional information • Interact with customer service and sales regarding customer orders • Participate in special projects and perform other required duties

🎯 Requirements

• Typically 2 or more years of related experience • Typically High School education, vocational training and/or on-the-job training (preferred) • Very good time management skills and ability to prioritize work and meet deadlines • Very good attention to detail and accuracy • Customer service orientation and ability to work with complex issues • Ability to plan and arrange activities • Very good interpersonal communication skills • Very good written and verbal communication skills • Ability to maintain confidential and highly sensitive information • Ability to work in a team environment • Ability to multi-task • Ability to establish productive working relationships at multiple levels within the organization

🏖️ Benefits

• Equal Employment Opportunity Employer • Remote position • No special physical demands required

Apply Now

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