Pharmacy Customer Service Representative - 90% WFH
Job Description
CORNERSTONE STAFFING HAS PARTNERED WITH A REPUTABLE PHARMACY COMPANY AND IS SEEKING 2 CUSTOMER SERVICE REPRESENTATIVES:
JOB TITLE: Pharmacy Technician/Pharmacy CSR
LOCATION: Remote, but must be required to go on site to office in The Colony for first few days of training and any meetings that need to happen
PAY: $18.50/hr+ Based on Experience
PERMANENT SCHEDULE AFTER TRAINING:
10:00 am to 7:00 pm Monday-Friday and 9:00 am to 1:00 pm on rotating Saturdays (Will be required to work approximately 1 Saturday per month)
In January, rotating peak season hours will be required to work from 9:00 am to 1:00 pm on Sundays.
TRAINING SCHEDULE: 8:30 am to 4:30 pm, Monday to Friday (primarily remote training, but will need to spend a few days in the office at the beginning of training)
JOB ORDER NUMBER: 134407
JOB DESCRIPTION: The Customer Service Representatives will handle calls from pharmacy members, providers and pharmacies.
JOB DUTIES:
Answer questions and handle problems with resolution on pharmacy benefit, provider or claim issues
Spend approximately 90% of time on phones
PROVIDE WORLD CLASS – WHITE GLOVE SERVICE
Follow up with members, providers, & pharmacies as necessary
Seek approval for overrides and Prior Authorizations as necessary and enter them into claims system upon approval
Data entry of member records with accurate information obtained on the call
Monitor pharmacy claims processing as necessary
Route calls to the appropriate department as needed
Other duties or special projects may be assigned as necessary
REQUIREMENTS:
***CUSTOMER SERVICE REPRESENTATIVE MUST HAVE 3 YEARS MINIMUM EXPERIENCE IN HEALTHCARE BENEFITS AND/OR PHARMACY BENEFITS MANAGEMENT
*** PREFER CERTIFIED PHARMACY TECHNICIAN CERTIFICATION
Two or more years telephone customer service experience in a related field
Must be able to type and talk at the same time and ability to multi-task systems
Respond well in a stressful, dynamic environment
Ability to maintain confidentiality and adhere to HIPAA requirements
Flexible, uses critical thinking skills and open to learning new ideas/skills
Passion for helping customers
EXPERIENCED IN PHARMACY CLAIM PROCESSING- MINIMUM OF 2 YEARS
Knowledge of pharmacology and pharmacological terms.
Previous customer service experience required; call center experience preferred.
Effective collaborative skills
Strong oral and written communication skills
PREFERRED QUALIFICATIONS:
PHARMACY BENEFIT MANAGEMENT (PBM) EXPERIENCE
Pharmacy Tech certified required
Strong PC skills – Word and Excel required
Click the APPLY ONLINE button at the top of this page, or below this job description, then:
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After completing the Online Application if you are new to CornerStone Staffing, call 972-370-5125 to schedule an interview.
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Company Description
CornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith. CornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity!