Job Description: 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. Maintains understanding of all policies and procedures related to the pharmacy benefit. Provides the highest level of customer service and support to members and physicians. Adheres to all regulatory standards. Works with Pharmacists to resolve clinical issues with providers in a timely manner. Documents accurately all 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 current pharmacy benefits and serves as a facilitator to team members. Requirements: High School Diploma or Equivalent (GED)- (Required) Minimum of 2 years-Customer Service (Required) Skills: Communication, Customer Retentions, Customer Service, Customer Support Policies, Standards And Procedures Benefits: healthcare benefits for full time and part time positions from day one, including vision, dental and benefits for domestic partners atmosphere of collaboration, cooperation and collegiality
