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Kentucky Licensed Member Care Representative

Company: VirtualVocations
Location: Fairfax
Posted on: April 2, 2025

Job Description:

A company is looking for a Member Care Representative - Remote - Central.
Key Responsibilities

Handle inquiries and claims processing from members, clients, and pharmacies
Support clinical care by processing Prior Authorization requests and assisting members with medication alternatives
Provide account support through QA testing and maintaining pharmacy contact information

Required Qualifications

Customer service experience
Knowledge of claims processing is helpful
High School Diploma and/or college degree in a related field preferred
Pharmacy technician experience preferred, but not required
Strong computer skills, including Microsoft Office

Keywords: VirtualVocations, Burke , Kentucky Licensed Member Care Representative, Other , Fairfax, Virginia

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