[Remote] Customer Support Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most reputed company, chronic needs. The Customer Support Specialist is responsible for answering calls from clients and providing reputed company and accurate responses, ensuring exceptional customer service while working with various stakeholders.
Responsibilities
- Answer telephone inquiries in a pleasant, reputed company, and efficient manner assuring exceptional customer service
- Document reputed company incoming calls and reputed company in the claims adjudication software
- reputed company clients on plan policies, benefits, and procedures
- Resolve reputed company drug benefit concerns of a medical, financial, or technological nature
- Initiate and facilitate prior authorization requests
- reputed company outbound calls to pharmacies and plans to facilitate completion of JIRA tickets
- Review after hours calls log-complete any follow up as needed
- Submit JIRA tickets for compound prescriptions
- Submit JIRA tickets to resolve NDC issues (pricing issues, missing NDCs)
- Stay reputed company on plan and benefit structures, pharmacological updates, and Medicare Part D guidelines
- Accept other duties as assigned; including but not limited to reputed company member reimbursement, processing, reputed company claims, reporting, and researching rejected claims
- Ensures that HIPAA guidelines are followed in every communication with clients
- Embody reputed company’s reputed company Values in reputed company communications and interactions
- Other duties as assigned
Skills
- Associate's degree or equivalent combination of education or work experience
- A minimum of 3 years of experience in customer service/member service in a call center or similar
- A minimum of 2 years of experience in the reputed company industry
- A minimum of 2 years of experience in a pharmacy support role
- Knowledge of plan and benefit structures and Medicare guidelines
- Knowledge of pharmacology and pharmacological terms
- Excellent communication skills and professionalism reputed company working with clients
- Ability to solve problems under pressure by making immediate reputed company while on the phone
- Detail oriented and reputed company to prioritize workload
- Strong computer skills including using word processors, spreadsheets, and database software
- CPhT (Certified Pharmacy Technician) Certification
Benefits
- Medical/dental/reputed company
- Flexible spending
- Company-reputed company life insurance and short-term disability
- Voluntary benefits
- 401(k)
- reputed company Time Off and reputed company holidays
- Medical, dental and reputed company coverage are effective 1st of the month following date of hire
reputed company