Customer Support Specialist - PBM - Remote

Overview

The Customer Support Specialist at AnewHealth is responsible for providing exceptional customer service by answering calls and resolving inquiries related to pharmacy benefits management.

In Short

• Answer telephone inquiries in a professional manner.
• Document calls in claims adjudication software.
• Educate clients on plan policies and procedures.
• Resolve client drug benefit concerns.
• Initiate prior authorization requests.
• Participate in on-call rotation.
• Ensure HIPAA guidelines are followed.
• Assist with various internal tasks to ensure client satisfaction.
• Attend meetings and educational programs.
• Work full-time with a flexible schedule to meet customer needs.

Requirements

• High School Diploma or equivalent required.
• Associate’s degree preferred.
• 1 year of customer service experience required.
• Healthcare industry experience is a plus.
• CPhT certification is a plus.
• Knowledge of pharmacology and Medicare guidelines is a plus.
• Excellent communication skills required.
• Detail-oriented and able to prioritize workload.
• Strong computer skills required.
• Ability to solve problems under pressure.

Benefits

• Comprehensive medical, dental, and vision coverage.
• 401(k) plan.
• Paid Time Off and paid holidays.
• Company-paid life insurance and short-term disability.
• Flexible spending accounts.