Pharmacy Customer Service Representative - Remote

Overview

The Pharmacy Customer Service Representative is responsible for handling inquiries related to pharmacy benefits, assisting members and providers, and ensuring effective communication and resolution of issues.

In Short

• Handles calls and correspondence regarding pharmacy benefit inquiries.
• Communicates issues and resolutions to members and providers.
• Documents calls within a call tracking system.
• Assists network pharmacies in processing prescription claims.
• Serves as a customer advocate in problem resolution.
• Creates an environment fostering teamwork and respect.
• Performs other duties as assigned.

Requirements

• Bachelor’s Degree or equivalent relevant experience.
• Active/Current National Pharmacy Technician Certification.
• 3-5 years of relevant work experience in a health plan, TPA or PBM contact center.
• Detail-oriented, analytical, and empathetic.
• Prior experience in health plan or PBM contact center.
• Effective problem-solver with solid communication skills.

Benefits

• Opportunity to work in a transformational healthcare environment.
• Supportive team culture focused on respect and diversity.
• Engagement in meaningful work that impacts healthcare outcomes.