Legal Marketing and Case Support Specialist
Job Duck
Pharmacy Customer Service Representative
Rightway
full-time
Posted on:
Location Type: Remote
Location: Remote • Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $21 - $22 per hour
Job Level
Mid-LevelSenior
About the role
- 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 and 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
pharmacy benefit inquiriesprescription claims processingcall tracking system documentationproblem resolutionclaims accuracy review
Soft skills
effective communicationdetail-orientedanalyticalempatheticgood listenercreative problem-solvingability to prioritizeteamworkrespectdiversity
Certifications
National Pharmacy Technician Certification
