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Position range in Rhode Island $48k - $105k Per Year Representative I

(Employer Name Not Available)

Occupation:

Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and Travel

Location:

Woonsocket, RI - 02895

Job Type:

Full Time (30 Hours or More)

Posted:

09/24/2026

Positions available: 1

Source:

A-Line Staffing Solutions | Randstad USA

Web Site:

www.alinestaffing.com

Job #: 14328636

Job Requirements and Properties

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Full Time Schedule

Full Time

Job Description

Help for Job Description. Opens a new window.

Job Title:

Representative I

Address:

Remote

Job Description

• Review fax documents accurately and forward to appropriate queues.
  
• Utilize multiple software systems to create Medicare Prior Authorization case reviews.
  
• Meet or exceed government-mandated timelines for case processing.
  
• Maintain knowledge of relevant Medicare D guidance and regulations.
  
• Accurately document Coverage Determination/Appeal requests and escalate issues when necessary.
  
• Participate in developmental discussions and receive feedback with supervisor.
• Critical Information
• Remote position with dedicated workspace and wired internet (minimum 25mbps download, 5mbps upload).
  
• Training hours are 9am-5:30pm EST, followed by rotating hours of 8am-8pm EST, Monday through Friday, including weekends.
  
• Attendance is crucial during the initial 8-week training period.
  
• Must be able to focus and work independently in a distraction-free environment.
  
• Position involves data entry and navigation across multiple applications with two screens.
• Education/Licenses Needed
• High School diploma or GED verified.
  
• Pharmacy or medical background preferred but not required.
  
• Experience working independently preferred.

Benefits

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