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Contractual Call Center Representative Jobs in Puerto Rico

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 ...

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 ...

¡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 ...

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 ...

Showing results 41-60

Contractual Call Center Representative information

What are the most commonly searched types of Call Center Representative jobs in Puerto Rico?

The most popular types of Call Center Representative jobs in Puerto Rico are:

HP1 Pharmacy Technician

APS Health Care PR

PR • On-site

$16.75 - $20.25/hr

Full-time

Re-posted 21 days ago


Job description

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:

  • Pharmacy Technician Course of accredited school.
  • Possess an active professional unrestricted Pharmacy Technician License in good standing to practice in Puerto Rico
    territory.


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.