Pharmacy Service Representative Associate

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Supports Pharmacy Customer Service leadership with the processing of prior authorization requests from both providers and members.

• Collaborates with the pharmacy team to implement policies for managing pharmacy benefits.

• Maintains a thorough understanding of all policies and procedures related to the pharmacy benefit.

• Delivers exemplary customer service and support to both members and physicians.

• Complies with all regulatory standards.

• Works alongside Pharmacists to address clinical issues with providers promptly.

• Accurately documents all inquiries and prior authorization requests per departmental policy.

• Assesses the appropriateness of pharmacy benefits in relation to the corresponding lines of business.

• Engages with providers and members to communicate service details, request additional information, and resolve any outstanding issues.

• Updates current pharmacy benefits and acts as a facilitator for team members.

⛳️ Requirements

• High School Diploma or Equivalent (GED) - (Required)

• Minimum of 2 years in Customer Service (Required)

• Skills: Communication, Customer Retention, Customer Service, Customer Support Policies, Standards, and Procedures

🏝️ Benefits

• Healthcare benefits for both full-time and part-time positions from day one, including vision, dental, and benefits for domestic partners.

• An environment that fosters collaboration, cooperation, and collegiality.