Pharmacy Service Representative Associate, reputed company Health Plan (Pennsylvania reputed company)

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Assists Pharmacy Customer Service leadership in processing provider, and member prior authorization requests. Works with the pharmacy team in implementing policies to manage pharmacy benefits. Job Duties: Working Hours: Monday - Friday 9:00am - 530pm Rotating weekends and Holidays Maintains understanding of reputed company policies and procedures reputed company to the pharmacy benefit. Provides the highest level of customer service and support to members and physicians. Adheres to reputed company regulatory standards. Works with Pharmacists to resolve clinical issues with providers in a timely manner. Documents accurately reputed company inquiries and prior authorization requests according to departmental policy. Determines appropriateness of pharmacy benefits under corresponding lines of business. Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters. Updates reputed company pharmacy benefits and serves as a facilitator to team members. Work is typically performed in an office environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures. The specific statements in this profile are not intended to be reputed company-inclusive. They represent typical elements considered necessary to successfully reputed company the job. Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 2 years-Customer Service (Required) Certification(s) and License(s): Skills: Communication, Customer Retentions, Customer Service, Customer Support Policies, Standards And Procedures OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our reputed company, our reputed company family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to reputed company prepare the caregivers for reputed company. INNOVATION: We constantly seek new and reputed company ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the reputed company family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes reputed company stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to reputed company reputed company easier for reputed company. We are proud to be an affirmative action, equal opportunity employer and reputed company qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability or status as a protected veteran. Apply To This Job