"Alerted.org

Description We are looking for a dedicated Logistics Clerk to join our team in Eden Prairie, Minnesota. This is a long-term contract position within the health insurance industry, offering an opportunity to contribute to vital pharmacy operations while working in a dynamic and fast-paced environment. Ideal candidates will have strong organizational skills, attention to detail, and a commitment to delivering excellent service.

Responsibilities:

• Sort and organize electronic copies of incoming fax transmittals, ensuring they are accurately indexed into the appropriate Prior Authorization system.

• Conduct research to identify member, provider, and drug information across multiple computer systems.

• Review incoming prior authorization requests and initiate coverage determination processes promptly and accurately.

• Make outbound calls to providers or members to obtain additional information for resolving prior authorization cases or to communicate case outcomes.

• Navigate multiple computer systems to gather essential information for outbound communication with members and providers.

• Educate members, guardians, providers, and pharmacy staff on procedures to promote compliance and prevent risks.

• Process member prior authorizations using various computer systems, ensuring data accuracy and timely updates.

• Handle incoming calls from members or providers, applying benefit plan criteria to make decisions regarding approvals, denials, or recommendations.

• Collaborate with team members to gather additional details or interpret clinical guidelines as needed.

• Meet departmental performance targets and work with minimal supervision to complete tasks efficiently. Requirements • Availability to work a flexible schedule, including early mornings, late evenings, weekends, holidays, and overtime as required.

• Reliable home internet access with hardwired Ethernet connectivity and a secure home workspace free from distractions.

• Proficiency in using a PC, including navigating multiple systems and screens with a keyboard and mouse.

• Strong communication skills, both verbal and written, with the ability to explain complex procedures clearly.

• Experience in handling inbound and outbound calls in a detail-oriented setting.

• Ability to research and analyze information across multiple platforms with high accuracy.

• Familiarity with pharmacy operations, prior authorization processes, and appeals procedures is preferred.

• Commitment to maintaining attendance and meeting service level agreements in a remote work environment. TalentMatch®

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

• 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .