Role Description The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc., providing professional and courteous phone assistance to all callers through the criteria-based prior authorization process. Maintains complete, timely, and accurate documentation of reviews. Transfers all clinical questions, escalations, and judgment calls to the pharmacist team. The Tech I will also assist with other duties as needed to include but not limited to: - Outbound calls - Reviewing and processing Prior Auths received via fax and ePA - Monitoring and responding to inquiries via department mailboxes - Other duties as assigned by the leadership team Additional responsibilities include: - Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards. - Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers. - Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.) - Identify and elevate clinical inquiries to the pharmacist team as appropriate. - Other duties assigned, for example, faxes, sorting, email boxes, CAS maintenance, etc. Qualifications - 1 year experience in customer service or call center environment - Must be able to work from home; this is a 100% work from home position - Have wired high-speed internet - Able to apply basic computer skills; knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable - Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols Requirements - Must be able to multitask and utilize multiple system applications simultaneously - Must be able to utilize available resources independently and provide high-quality work - Must be able to absorb presented information, display motivation, seek development, and problem solve - Ability to adapt and change with workflow and shifting priorities - Must possess excellent written, verbal, grammar, and listening communication skills - Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner - Ability to maintain confidentiality of PHI (Protected Healthcare Information) Education - High School Diploma or equivalent GED Benefits - Affordable medical plan options - 401(k) plan (including matching company contributions) - Employee stock purchase plan - No-cost programs for all colleagues including wellness screenings, tobacco cessation, and weight management programs, confidential counseling, and financial coaching - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility

Role Description MDS Communications is looking to hire Call Center Representatives! As an MDS Communication Specialist you will: - Receive in-depth training. - Be assigned to one of four MDS “Teams” that calls on behalf of a set of MDS clients. - Call for 4-8 different clients over the course of an 8 hour day, using predictive dialing equipment. We typically handle about 16-24 completed calls per hour with an average of about 20 - 30 seconds between calls. - Communicate with donors and prospective donors in a positive, engaging and enthusiastic manner using a carefully crafted script that is approved by our clients. - Secure financial gifts from donors and prospective donors on behalf of our clients. - Maintain minimum fundraising and productivity metrics. Qualifications - 1 year or more of successful outbound telemarketing experience or a strong general employment record with long term stability. - Dedicated wired internet connection. - A quiet place to work at home free from normal household interruptions. - Basic computer skills. - A commitment and enthusiasm to the charitable and non-profit causes we represent. - A willingness to learn. - Persistence. Benefits - $15-$16 per hour for 40 hours shifts (depending on schedule). - Participation in our performance bonus program (MDS paid $635,000 in bonuses in 2024, equating to over $12,000 per week). Top performers consistently earn $8-$10+ in hourly bonus on top of the wages mentioned above. - Paid break time. - Health insurance eligibility after just 2 months. MDS pays 75% of base employee premiums. - Paid time off. - The opportunity to advance to management positions, Inbound Donor Services positions, as well as manage portfolios of $1k-$10k donors for our clients. MDS seeks to promote from within whenever possible. Company Description MDS Communications is a faith-based company rooted in Christian values. While we don’t require employees to share our beliefs, we do ask they respect our desire to be salt and light in a dark and desperate world —both through our work and how we treat one another. Because God loves redemption stories, we’re proud to be a recovery-friendly workplace. If you are sober and committed to extending your sobriety, we want to help you on that journey.

Role Description As a Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they get the most out of their healthcare plans and services. - Customer Interactions: - Manage inquiries in areas such as Member Services, Medicare, and Billing. - Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines. - Quality Service: - Uphold the organization’s philosophy of extraordinary customer relations. - Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries. - Problem Resolution: - Analyze and evaluate customer issues to initiate and coordinate service recovery measures. - Document all member interactions meticulously following established procedures. - Healthcare Knowledge: - Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.). - Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies. - Operational Excellence: - Leverage a thorough understanding of company policies and processes to meet customer needs effectively. - Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools. - Performance Metrics: - Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention. - Compliance and Ethics: - Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information. - Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security. - Tools and Systems: - Use multiple systems/screens while assisting callers effectively. - Navigate CRM, EMR/EHR, and ticketing platforms effectively. Qualifications - Minimum of two (2) years of customer service or healthcare member-interaction experience. - Previous call center experience and/or prior experience in the health insurance industry (preferred). - High School Diploma or GED required. - Outstanding written and verbal communication skills. - Proven analytical and problem-solving abilities. - Ability to respond concisely and clearly to customer queries. - Strong critical thinking and problem-solving skills. - Typing speed of at least 35 WPM with a 5% or lower error rate. Requirements - A dedicated, quiet workspace with a door that closes, free from ambient noise. - A comfortable desk and chair setup that allows for the proper installation of necessary equipment. - Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream. - A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions. - Comfort with technology and ability to learn new systems quickly. - Ability to stay productive and manage your time effectively in a remote environment. - Strong verbal and written communication skills, especially in a virtual setting. - Ability to adapt to changing technologies and procedures while working remotely. Benefits - Enjoy a competitive hourly rate with opportunities for performance-based increases. - Full health insurance coverage, including medical, dental, and vision plans. - A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills. - Abundant advancement opportunities within the organization. - We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans. - $25/month per line for unlimited phone, text, and data (restrictions may apply). - Earn residual bonuses for referring employees who join the team and remain with the company. Company Description If you are motivated to make a meaningful impact in the lives of others, we want to hear from you. Apply today to embark on a rewarding career where your skills and dedication will help shape the future of healthcare services. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Role Description We are excited to announce that currently we are looking for a 100% remote (work from home—WFH) contract Pharmacy Support Call Center Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Pharmacy Support Call Center Representative is primarily responsible for fielding requests such as: - Card activation - Program eligibility - Explanation of program benefit - Explanation/troubleshooting of submission rejection Role Purpose: - Primary Call Center contact for patients, pharmacies and medical professionals utilizing an Opus Health program. Job Responsibilities: - Provide initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center. - Quickly assess the user's issue and provide first level support for problem resolution. - Document information specific to the resolution and escalate unresolved issues expeditiously to the appropriate area. - Recognize operational challenges and suggest recommendations to management, as necessary. - Ability to work 40 hours per week (shifts: 8:00 am – 5:00 pm EST or, 9:00 am - 6:00 pm EST or, 10:00 am - 7:00 pm EST or, 11:00 am – 8:00 pm EST) under moderate supervision. Qualifications - High School Diploma or equivalent - Pharmacy Technician experience required - HIPAA certified - Call center experience required (3+ years preferred) - Experience in medical claim processing is a plus - Bi-lingual (English/Spanish) is a plus - MUST currently be working on a PSS contracted role with IQVIA Benefits - The potential base pay range for this role is $18.00 per hour. - The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). - Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits. Company Description IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.