Pharmacy Technician Customer Service

Job Summary

Working remotely in a full-time capacity, the Customer Service Representative will assist healthcare providers and members with prescription and insurance inquiries, ensuring a positive and professional experience.

Key responsibilities

• Answer inquiries regarding drug formularies, copays, deductibles, and prescription benefit coverage
• Assist network pharmacies with claims processing, eligibility checks, and securing prior authorizations
• Investigate and resolve complaints or coverage rejections, ensuring first-call resolution while adhering to HIPAA standards

Required qualifications

• High school diploma or GED required; associate or bachelor's degree preferred
• 1-2 years of customer service experience in a healthcare or pharmacy setting preferred
• Experience handling insurance claims or medical billing preferred
• Active listening and problem-solving abilities
• State issued pharmacy technician registration preferred