Pharmacy Customer Service Representative

September 5

Apply Now

Receive Emails with Similar Jobs

Rightway

WebsiteLinkedInAll Job Openings

Simplifying the healthcare experience for clients and members.

Care Navigation and PBM

201 - 500

💰 $100M Series C on 2021-03

Description

• Handles calls and correspondence (electronic and written) regarding pharmacy benefit inquiries from providers (pharmacy/physician) and members. • Effectively communicate issues and resolution to members and providers. • Document calls within a call tracking system using established protocols to ensure resolutions are clear, concise, and accurate. • Assist network pharmacies in processing prescription claims. Review claims for accuracy against benefit guidelines and contract standards. • Serve as a customer advocate in problem resolution and follow through. • Creates and supports an environment which fosters teamwork, cooperation, respect and diversity. • Perform other duties and projects as assigned.

Requirements

• Education level: Bachelor’s Degree or equivalent relevant work experience. • Active/Current National Pharmacy Technician Certification • Work experience: 3-5 years of relevant work experience in a health plan, TPA or PBM contact center. • Important characteristics of ideal candidate: Detail-oriented, analytical, intellectually curious, good listener, empathetic, ability to challenge status quo, values exemplar • Specific skills needed for job: Prior experience working with health plan, TPA, or PBM contact center, effective & creative problem-solver, ability to prioritize and manage through change. Solid communication skills.