• Answer telephone inquiries in a pleasant, professional and efficient manner assuring exceptional customer service • Document all incoming calls and dialogue in the claims adjudication software • Educate clients on plan policies, benefits and procedures • Resolve client drug benefit concerns of a medical, financial, or technological nature • Initiate and facilitate prior authorization requests • Stay current on plan and benefit structures, pharmacological updates, and Medicare Part D guidelines • Participate in on-call rotation • Accept other duties as assigned; including but not limited to: direct member reimbursement, processing, manual claims, reporting and researching rejected claims • Attend department and company meetings and educational programs upon request • Ensures that HIPAA guidelines are followed in every communication with clients • Interest in learning new tasks for development purposes • Embody AnewHealth’s Core Values in all communications and interactions