**Job Description:**
**Job Summary:**

Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or third-party providers about the company’s products or services following standard SOPs and procedures, working under direct supervision. Ensures all contacts receive efficient and courteous service.

**Job Responsibilities:**

+ Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls.
+ Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. Utilizes all available information to choose the best solution and resolve customer and PBM concerns.
+ Requests and loads PBM and/or Major Medical insurance plans.
+ Processes all non-clin...