Job Description
**Overview**
**Scope of Responsibilities:** Works under general supervision. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees
**Job Summary:** Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment.
**Responsibilities**
**Job Duties:**
+ Responsible for monitoring adjudication queue(s)
+ Responsible for contacting members and prescribers on non-covered items
+ Facilitate prior authorization process for customers
+ Provide clinical services in TherigySTM
+ Customer service coverage for incoming calls and directing incoming calls
+ Provides resolution to customer service issues to ensure member satisfaction
+ Work with members to provide resolution to payment related issues on accounts/orders
+ Maintain and keep reasonable production as determined by supervisor
+ May assist in orienting and training...
**Scope of Responsibilities:** Works under general supervision. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees
**Job Summary:** Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment.
**Responsibilities**
**Job Duties:**
+ Responsible for monitoring adjudication queue(s)
+ Responsible for contacting members and prescribers on non-covered items
+ Facilitate prior authorization process for customers
+ Provide clinical services in TherigySTM
+ Customer service coverage for incoming calls and directing incoming calls
+ Provides resolution to customer service issues to ensure member satisfaction
+ Work with members to provide resolution to payment related issues on accounts/orders
+ Maintain and keep reasonable production as determined by supervisor
+ May assist in orienting and training...
Ready to Apply?
Submit your application today and join our talented team at KPH Healthcare Services, Inc..
Submit ApplicationJob Details
- Location Syracuse, NY
- Job Type Full-time
- Category other-general
- Posted Date July 06, 2026
- Application Deadline July 10, 2026