Employer Industry: Retail Pharmacy and Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and satisfaction
- Work with a leading healthcare service provider that serves nearly 9 million customers daily
- Engage in specialized programs and initiatives that support patient assistance and complex funding needs

What to Expect (Job Responsibilities):
- Respond to inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls
- Resolve questions and problems submitted by customers and PBM following established guidelines
- Verify benefits for Major Medical via online resources or over the phone
- Facilitate the reimbursement processes for PBM major medical claims
- Document contact interactions, recording details, complaints, comments, and actions taken

What is Required (Qualifications):
- High school diploma/GED
- Experience providing customer service in healthcare, specialty pharmacy, PBM, call center setting, or related industry
- Ability to communicate clearly and effectively (written and verbal)
- Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
- Basic level PC skills, including MS Windows and MS Office Suite

How to Stand Out (Preferred Qualifications):
- Experience with providing customer service related to adherence and complex disease states
- Experience in identifying operational issues and recommending strategies to resolve problems
- Intermediate level PC skills, including MS Windows and MS Office Suite

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