30 Positions for Pharmacy Tech/Customer Service Role
We are recruiting for a large healthcare insurance company in the Metro Center Area for highly skilled Customer Service Representatives and pharmacy is experience a plus. This long term assignment is through March 2019 during the annual enrollment period. The ideal candidate with have customer service and pharmacy experience. This opportunity will expose the right candidate to a great working environment to demonstrate their skills and expertise within a rapidly growing company in the Healthcare industry.
-Ability to process coverage determination requests received by mail, fax, electronic portal or telephone
-Will work in various queues to ensure proper handling of all processes related to coverage determination requests
-The ability to work with time sensitive material and must adhere to mandates turnaround times on all work
-Respond to inquiries from customers for information and assistance related to coverage determinations
-Must be able to perform research to respond to inquiries and interpret policy provisions to determine most effective response
-The ability to seek assistance with complex customer services issues
-Makes outbound notification calls to members and/or their appointed representatives regarding status of requests
Working hours: 8:00 AM - 9:00 PM
-High School Diploma or equivalent, some college/college degree (preferred)
*Pharmacy certification not required but is great to have, willing to take candidates who have their trainee certificate
-Retail pharmacy experience a plus
-Medical Office experience a plus
-Position typically requires excellent interpersonal skills, ability to understand and interpret policy provisions
-General knowledge of formulary process, and branded versus generic drugs required
-Excellent verbal and written communication skills
-Excellent customer service/people skills
-Excellent telephone and PC/data entry skills
-Ability to multi-task, i.e. data entry with speed and accuracy while managing calls
-Ability to handle and resolve escalated issues
-Strong decision making skills to appropriately serve the customer
-Must be able to sit for the majority of shift and be comfortable working in a call center environment
- Experience with creating and processing prior authorization is a plus
- Experience making outbound calls a to verify information is a plus
- Experience answering inbound calls is a plus
- Training schedule will be Monday through Friday from 8:00 AM to 4:30 PM. - Permanent shifts will vary throughout the Operational hours of Monday through Sunday from 8:00 AM to 9:00 PM. The goal is to provide final shifts at the time of offer.
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