Associate Rx Customer Service Specialist

Abarca Health

Associate Rx Customer Service Specialist at Abarca Health managing communications with pharmacies, beneficiaries, and prescribers to resolve prescription needs.

Posted 5/5/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Manage all incoming calls, emails, faxes and web-generated requests from pharmacies, beneficiaries, and prescribers.
Provide service-level standards set by CMS or by client; 80% of calls should fall within service level, less than 5% abandon rate and speed to answer should be less than 30 seconds.
Rejection support, including overrides.
Provide Coverage Determination status to clients including exceptions and appeals.
Administrative PAs- Document PA request inquiries, issues, status, and resolution in accordance with federal and department and company policies and guidelines.
Answer questions and recommend corrective services to address customer complaints, payment status, manual reversal requests, benefit and eligibility support, provider portal support and response to price appeals.
Report identified issues to the appropriate department, for investigation and correction, following the established procedure.

Requirements

What you’ll need

Associate’s Degree in Pharmacy Technician (in lieu of a degree, equivalent, relevant work experience may be considered).
1+ years of experience working in a Pharmacy or Member Services Call Center, Retail or Hospital Pharmacy Setting.
Excellent oral and written communication skills in English.
To work remotely, must have a stable, secure, and efficient internet connection. Dedicated workspace observing HIPAA and PHI protocols.
Must be available to work 40 hours per week, Monday through Sunday—including holidays—with flexibility to work any 8-hour shift within our standard business hours of 8:00 AM to 8:00 PM AST.
Active Pharmacy Technician License is preferred.
Bilingual fluency in Spanish in oral and written communication skills.
Experience in PBM, Medicare Part D, Commercial/Employer Plans, Insurance, Pharmacy, and / or healthcare.

Benefits

Comp & perks

Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.
Equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.
Flexible work arrangements.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Pharmacy TechnicianCoverage DeterminationAdministrative PAsCustomer servicePayment status supportBenefit supportEligibility supportProvider portal supportIssue reportingRejection support

Soft Skills

Excellent oral communicationExcellent written communicationFlexibilityProblem-solvingCustomer complaint resolution

Certifications

Pharmacy Technician License