Appeals Technician (Temp to Hire)

Remote

Responsibilities

Maintain quality and productivity standards for all cases reviewed while meeting established turnaround time requirements.
Review all cases received, to verify if case meets qualifications for appeal review.
Make verbal outreach attempts to obtain necessary information for case review and record accurate information obtained on the call.

Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
experience working as a certified pharmacy technician in a managed care or PBM setting required.
Active, unrestricted certified pharmacist technician license required.
Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven environment with shifting priorities.
Ability to work 12pm-9pm EST hours Preferred
Experience working with commercial and medicare appeals preferred
As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices.

Work with appeals team for multiple lines of business such as Commercial, Exchange and Medicare, ensuring the proper submission of appeals for review by pharmacist and medical directors. Position Responsibilities:
Remote, US Salary Range
$60,000.00 - $65,000.00 USD
New York, NY Salary Range
$78,800.00 - $98,500.00 USD
Denver, CO Salary Range
$72,000.00 - $90,000.00 USD About Capital Rx