Medicare Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative in the Medicare Pharmacy Department.

Key Responsibilities

• Handle and record inbound pharmacy calls from members, providers, and pharmacies
• Process pharmacy prior authorization requests and appeals
• Communicate plan benefit information effectively to members and providers

Required Qualifications

• High School Diploma or GED equivalent
• 1-3 years of call center or customer service experience
• Preferred: Associate degree
• Preferred: 3-5 years of healthcare industry experience
• Preferred: National pharmacy technician certification