Pharmacy Service Representative Associate

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