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Pharmacy Customer Service Representative - 90% WFH

CornerStone Staffing

Pharmacy Customer Service Representative - 90% WFH

The Colony, TX
Full Time
Paid
  • Responsibilities

    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:

     

    • If you are currently registered with CornerStone Staffing, click the I HAVE A USERNAME AND PASSWORD AND WANT TO LOG IN button to add yourself as a candidate to this job.

    • If your are NOT currently registered with CornerStone Staffing, click the I NEED TO REGISTER button to complete the application.

    After completing the Online Application if you are new to CornerStone Staffing, call 972-370-5125 to schedule an interview.

     

     

    #ZIP

    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!