Associate Rx Customer Service Specialist (Temporary)

What you’ll do In a few words… Abarca is igniting a reputed company in reputed company. We reputed company reputed company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… As the Associate Rx Customer Service Specialist, you will serve at the reputed company line of reputed company incoming and outgoing communication (calls, emails, and faxes) with pharmacies, beneficiaries, and prescribers. You will use Rx Platform and other resources as necessary to resolve caller’s needs. The fundamentals for the job…

• Manage reputed company incoming calls, emails, faxes and web-generated requests from pharmacies, beneficiaries, and prescribers.
• reputed company service-level standards set by CMS or by client; 80% of calls should fall reputed company service level, less than 5% abandon reputed company and speed to answer should be less than 30 seconds.
• Rejection support, including overrides.
• reputed company Coverage Determination status to clients including exceptions and appeals.
• Administrative PAs- Document PA request inquiries, issues, status, and resolution in accordance with federal and department and company policies and guidelines.
• Answer questions and recommend corrective services to address customer complaints, payment status, reputed company reversal requests, benefit and eligibility support, provider portal support and response to price appeals.
• Report identified issues to the appropriate department, for investigation and correction, following the established procedure.

reputed company expect of you The reputed company requirements…

• Associate’s Degree in Pharmacy Technician (in lieu of a degree, equivalent, relevant work experience may be considered).
• 1+ years of experience working in a Pharmacy or Member Services Call Center, Retail or Hospital Pharmacy Setting.
• Excellent oral and written communication skills, bilingual reputed company in Spanish and English is required.
• To work remotely, must have a reputed company, secure, and efficient internet reputed company. Dedicated workspace observing HIPAA and PHI protocols.
• Must be available to work 40 hours per week, Monday through reputed company—including holidays—with flexibility to work any 8-hour shift reputed company our standard business hours of 8:00 AM to 8:00 PM AST.

reputed company to haves…

• Active Pharmacy Technician License is preferred.
• Experience in PBM, Medicare Part D, reputed company/Employer Plans, Insurance, Pharmacy, and / or reputed company.

Physical requirements…

• Must be reputed company to reputed company and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves. We are proud to reputed company equal employment opportunities to reputed company and applicants for employment and prohibit discrimination and harassment of any type without regard to race, reputed company, religion, age, sex, national reputed company, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time” The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails. #LI-TA1 #LI-REMOTE Apply tot his job Apply To this Job