Everstaff is seeking Pharmacy Technicians/ Health Care Call Center Reps for a thriving pharmacy/health care organization!
The Representative is responsible for providing timely, accurate and courteous resolution and response to pharmacy, member and product-related inquiries.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Research claim reject messaging associate with a coverage determination in our adjudication platform
- Transcribe electronic faxes for coverage determinations for pharmacist review in our prior authorization platform
- Place outgoing phone calls to medical office if more information is needed or fax needs to be verified
- Document all information and enter data accurately
- Utilize on line training documents to ensure following current process
- Ensure all time frames are met for coverage determinations
- High school diploma or GED required; Bachelor’s degree strongly preferred
- Customer service or inbound call center experience preferred
- A knowledgeable individual with appropriate industry experience, preferably in the healthcare or mail order/specialty pharmacy industry
- Pharmacy Technician experience/license is a PLUS!
- Bilingual in English and Spanish id a plus!
- Effective verbal and written communication skills
- Excellent interpersonal skills with a strong customer focus
- Ability to work rotating weekends and holidays pursuant with industry demands
- Proficient in Microsoft Office and industry-related software programs
Qualified candidates submit your resume for immediate consideration!
All qualified applicants will receive consideration for employment without regard to race, color, religion, ethnicity, national origin, sex, gender identity, sexual orientation, disability status, protected veteran status or any other protected status under the law.
EverStaff is an equal opportunity employer (M/F/D/V/SO/GI)
EverStaffEVERSTAFF specializes in the recruitment of a variety of professionals in various industries and is a resource for providing the most qualified and skilled individuals to organizations of all sizes. EVERSTAFF strives to optimize our efforts and resources to exceed our clients' and candidates' expectations.