Pharmacy Service Representative Associate

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

📋 Description

• Support Pharmacy Customer Service leadership in handling provider and member prior authorization requests.

• Collaborate with the pharmacy team to establish policies for managing pharmacy benefits.

• Maintain a thorough understanding of pharmacy benefit policies and procedures.

• Deliver customer service and support to both members and physicians.

• Partner with Pharmacists to promptly resolve clinical issues with providers.

• Accurately record inquiries and prior authorization requests in line with departmental policy.

• Assess the suitability of pharmacy benefits for corresponding lines of business.

• Reach out to providers and members to convey service details, request further information, and address outstanding issues.

• Update existing pharmacy benefits and provide relevant information to team members.

⛳️ Requirements

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

• At least 2 years of customer service experience (Required).

• Strong communication skills.

• Skills in customer retention.

• Proficient customer service abilities.

• Knowledge of customer support policies, standards, and procedures.

• Capability to provide coverage on weekends and holidays.

• Ability to comply with regulatory standards.

• Resident of Eastern Standard Time.

🏝️ Benefits

• Healthcare benefits available for both full-time and part-time positions from the first day.

• Vision insurance.

• Dental insurance.

• Benefits for domestic partners.

• A collaborative, cooperative, and collegial work environment.