Pharmacy Benefits Specialist
About this role
Pharmacy Benefits Specialist
The Customer Support Specialist is responsible for answering calls from our clients and providing timely and accurate responses in a professional and courteous manner. This position works with internal and external clients which include members, clinicians, pharmacies, plan sponsors and other departments within the company.
Responsibilities
- Answer telephone inquiries in a pleasant, professional, and efficient manner assuring exceptional customer service.
- Document all incoming calls and dialogue in the claims adjudication software.
- Educate clients on plan policies, benefits, and procedures.
- Resolve client drug benefit concerns of a medical, financial, or technological nature.
- Initiate and facilitate prior authorization requests.
- Make outbound calls to pharmacies and plans to facilitate completion of JIRA tickets.
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