Call Center Representative

• Accurately input patient, insurance, and prescription information into the pharmacy system.
• Answer incoming calls and assist callers with non-clinical inquiries and pharmacy-related services.
• Resolve and ensure proper adjudication of claims and contact insurance companies for benefit investigation and coverage eligibility.
• Confirm patient benefits with insurance and determine required authorizations for prescribed therapy.
• Maintain new and existing patient profiles and enter new prescriptions into patient profiles.
• Contact patients to schedule medication deliveries and verify address information.
• Escalate clinical inquiries to pharmacists and grievances to supervisors.
• Ensure patient health information is preserved per HIPAA & PHI guidelines.
• Perform light physical tasks (stand periodically, move around campus) as required.

Specialty Pharmacy Technician, Call Center

Pharmacy Technician II – CarelonRx Call Center

Call Center Agent, Part Time

Call Center Supervisor

Call Center Trainer

Call Center Representative