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

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:

#MedixMW

Hourly pay, Full time, Monday to Friday,