PR · On-site
$16.75 - $20.25/hr
The Health Professional 1-Pharmacy Call Center Representative manages telephone calls from pharmacies and providers related to pharmacy benefits, authorization requests, drug use review, among others ...
Quick apply
PR · On-site
$16.75 - $20.25/hr
The Health Professional 1-Pharmacy Call Center Representative manages telephone calls from pharmacies and providers related to pharmacy benefits, authorization requests, drug use review, among others ...
Quick apply
PR · On-site
$16.75 - $20.25/hr
The Health Professional 1-Pharmacy Call Center Representative manages telephone calls from pharmacies and providers related to pharmacy benefits, authorization requests, drug use review, among others ...
PR · On-site
Descripción de Puesto Departamento Operacional Ubicación 342 San Luis St., Suite 304, San Juan, PR 00920 Puesto Representante de Ventas ( Call Center ) Depende de German Muñoz Título Director ...
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PR · On-site
Descripción de Puesto Departamento Operacional Ubicación 342 San Luis St., Suite 304, San Juan, PR 00920 Puesto Representante de Ventas ( Call Center ) Depende de German Muñoz Título Director ...
... customer service representatives that complete various functions to successfully meet the ... Support day-to-day call center operations, ensuring workflows and processes are followed ...
... customer service representatives that complete various functions to successfully meet the ... Support day-to-day call center operations, ensuring workflows and processes are followed ...
PR · On-site
Descripción de Puesto Departamento Operacional Ubicación 342 San Luis St., Suite 304, San Juan, PR 00920 Puesto Representante de Ventas ( Call Center ) Depende de German Muñoz Título Director ...
Quick apply
PR · On-site
Descripción de Puesto Departamento Operacional Ubicación 342 San Luis St., Suite 304, San Juan, PR 00920 Puesto Representante de Ventas ( Call Center ) Depende de German Muñoz Título Director ...
$17.25 - $20.75/hr
Job Summary The Pharmacy Call Center Representative manages telephone calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits, authorization requests, and drug use ...
Quick apply
$17.25 - $20.75/hr
Job Summary The Pharmacy Call Center Representative manages telephone calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits, authorization requests, and drug use ...
¡Estamos contratando Representantes de Call Center! ¿Te apasiona el servicio al cliente y tienes excelentes destrezas de comunicación? ¡Esta oportunidad es para ti! Responsabilidades: * Atender ...
Quick apply
¡Estamos contratando Representantes de Call Center! ¿Te apasiona el servicio al cliente y tienes excelentes destrezas de comunicación? ¡Esta oportunidad es para ti! Responsabilidades: * Atender ...
PR · On-site
$13.25 - $16.75/hr
Customer Service Representative (Bilingual - English/Spanish) | Arecibo, Puerto Rico Clearance ... Previous call center or customer service experience strongly preferred. * Ability to work on-site ...
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PR · On-site
$13.25 - $16.75/hr
Customer Service Representative (Bilingual - English/Spanish) | Arecibo, Puerto Rico Clearance ... Previous call center or customer service experience strongly preferred. * Ability to work on-site ...
PR · On-site
Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes, proveedores y aseguradoras, gestionando autorizaciones de recetas, prior authorizations y ...
Quick apply
PR · On-site
Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes, proveedores y aseguradoras, gestionando autorizaciones de recetas, prior authorizations y ...
PR · On-site
Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes, proveedores y aseguradoras, gestionando autorizaciones de recetas, prior authorizations y ...
Quick apply
PR · On-site
Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes, proveedores y aseguradoras, gestionando autorizaciones de recetas, prior authorizations y ...
Cidra, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Cidra, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Dorado, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Dorado, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Guaynabo, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Guaynabo, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Ponce, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Ponce, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Corozal, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Corozal, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Bayamon, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Bayamon, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Vega Alta, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Vega Alta, PR · On-site
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Bayamon, PR · On-site
$14 - $17.50/hr
Join our Team, we have several Associate, Retail Channels (Call Center) opportunities to serve our customers while providing a best-in-class customer experience and building loyalty. You may work ...
Bayamon, PR · On-site
$14 - $17.50/hr
Join our Team, we have several Associate, Retail Channels (Call Center) opportunities to serve our customers while providing a best-in-class customer experience and building loyalty. You may work ...
$14 - $17.50/hr
Join our Team, we have several Associate, Retail Channels (Call Center) opportunities to serve our customers while providing a best-in-class customer experience and building loyalty. You may work ...
$14 - $17.50/hr
Join our Team, we have several Associate, Retail Channels (Call Center) opportunities to serve our customers while providing a best-in-class customer experience and building loyalty. You may work ...
Guaynabo, PR · Remote
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English & Spanish As ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Guaynabo, PR · Remote
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English & Spanish As ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Guaynabo, PR · On-site +1
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English & Spanish As ... Our call center associates are members of a supportive team. Your excellent customer service and ...
Guaynabo, PR · On-site +1
$13.67/hr
Remote Bilingual Healthcare Customer Service Representative Must be fluent in English & Spanish As ... Our call center associates are members of a supportive team. Your excellent customer service and ...
The most popular types of Call Center Representative jobs in Puerto Rico are:
$16.75 - $20.25/hr
Full-time
Re-posted 21 days ago
Position Summary:
The Health Professional 1-Pharmacy Call Center Representative manages telephone calls from pharmacies and providers related to pharmacy benefits, authorization requests, drug use review, among others, to ensure that claims are correctly and timely adjudicated.
Essential Functions:
1. Answers and manages telephone calls from pharmacies and providers in a timely, confidential and courteous manner.
2. Documents calls and/or drug requests with complete follow-up history of the patient through electronic records.
3. Provides orientation to pharmacies regarding pharmacy benefits.
4. Performs system overrides (e.g., prior authorization) on the PBM claims processing system to ensure that claims are
correctly adjudicated.
5. Assists pharmacies claim processing.
6. Assist in the training of pharmacy representatives.
7. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
8. In addition, all other duties assigned by the manager and/or supervisor.
Education:
Experience:
· Minimum 2 years’ experience in retail pharmacy preferred.
Knowledge:
· Basic knowledge of physical and mental pharmacotherapies, in order to make accurate assessments of clinical cases.
· Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.