
Pharmacy Care Representative
Posted Jul 15

Posted Jul 15
This is a fully remote position, open to applicants in Michigan.
β’ Make inbound or outbound telephone calls to patients concerning intricate Specialty medication orders, benefits verification, and enrollment of new patients.
β’ Organize and manage requests for new and refill order shipments.
β’ Gather necessary information to confirm insurance coverage for patient medication orders.
β’ Validate eligibility, prior authorization, and other reimbursement prerequisites prior to shipment.
β’ Aid in the enrollment and monitoring of new customer referrals.
β’ Explain CVS/Specialty services to new clients.
β’ Transfer or escalate clinical inquiries and issues to the staff pharmacist for resolution.
β’ Over 1 year of experience in a customer service position managing and resolving a substantial volume of complex customer needs via phone.
β’ More than 1 year of experience working with Windows-based applications such as Microsoft Office (Outlook, Excel, Teams, Word), internet navigation, and email tools.
β’ At least 1 year of experience with computer keyboarding, skills, and proficiency.
β’ A direct/hardwired internet connection to a modem/router located within 7 feet of your computer.
β’ A minimum download speed of 25 Mbps and 3 Mbps upload speed.
β’ A secure and private home workspace that is free from distractions.
β’ High School Diploma or equivalent professional experience.
β’ Medical, dental, and vision insurance.
β’ Sixteen paid days off.
β’ Ten paid holidays.
β’ A comprehensive benefits package tailored to support the physical, emotional, and financial well-being of colleagues and their families.
CenterWell Senior Primary Care
Humana
CVS Health
IMH
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