Pharmacy Service Representative Associate

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Job Description:

  • Assists Pharmacy Customer Service leadership in processing provider, and member prior authorization requests.
  • Works with the pharmacy team in implementing policies to manage pharmacy benefits.
  • Maintains understanding of all policies and procedures related to the pharmacy benefit.
  • Provides the highest level of customer service and support to members and physicians.
  • Adheres to all regulatory standards.
  • Works with Pharmacists to resolve clinical issues with providers in a timely manner.
  • Documents accurately all inquiries and prior authorization requests according to departmental policy.
  • Determines appropriateness of pharmacy benefits under corresponding lines of business.
  • Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters.
  • Updates current pharmacy benefits and serves as a facilitator to team members.

Requirements:

  • High School Diploma or Equivalent (GED)- (Required)
  • Minimum of 2 years-Customer Service (Required)
  • Skills: Communication, Customer Retentions, Customer Service, Customer Support Policies, Standards And Procedures

Benefits:

  • healthcare benefits for full time and part time positions from day one, including vision, dental and benefits for domestic partners
  • atmosphere of collaboration, cooperation and collegiality
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