Job Description

Pharmacy Benefits Specialist

Medix Healthcare

Phoenix, AZ 85004

Monday - Friday 7:00am-4:00pm

$21.15 - 23.50 / hour

Job Details

Hourly

$21.15 - 23.50 / hour

Job Type

Full-Time

Qualifications

• High school diploma or GED
• 2+ years Pharmacy or PBM call center experience
• Knowledge of medical/pharmaceutical terminology

Essential Duties and Responsibilities:

As a Pharmacy Benefits Specialist you will…

• Working in call center (95% inbound calls, 5% outbound calls)
• About 30-50 calls/day, average call handle time is 6.5 minutes
• Calls will be from pharmacies, clients, members, other insurance providers
• Calling to get missing information, prescription updates
• Lots of people call about their pharmacy coupon cards
• Determine pharmacy eligibility by reviewing, researching, and analyzing information in the appropriate system
• Maintain and enter member/prescription information into systems as information is received and forward records to the appropriate parties when applicable.
• Record and respond to calls/emails/faxes from Member, Providers, and Pharmacies.
• Maintain a high level of knowledge to answer specific Pharmacy Plan Benefit information or sharing guideline related questions.
• Provide exceptional customer service for incoming/outgoing calls.
• Provide timely and thorough responses to internal and external customers.
• Maintain HIPAA/PHI guidelines to ensure the confidentiality of all calls and documents.
• Escalate difficult issues to the appropriate party.
• Use critical thinking and reasoning to resolve conflicts and manage workloads efficiently.

Work Environment: This position is going to be HYBRID.

Job Type: Full-time

$21.15 - 23.00 /hour (DOE)

Schedule:

• Monday-Friday 7:00am-4:00pm

#MedixMW

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