Associate Rx Customer Service Specialist


  2026-05-05
  Remote, USA
  Not specified
  Customer Service

Salary

Salary not provided

Related skills

cms pharmacy phi hipaa pbm

???? Description

  • Handle calls, emails, faxes, and web requests from pharmacies, beneficiaries, prescribers.
  • Use Rx Platform and other resources to resolve caller needs.
  • Meet CMS/client SLA: 80% in SLA, 5% abandon, 30s response.
  • Provide Coverage Determination status, including exceptions and appeals.
  • Document PA requests; track inquiries per federal and company policies.
  • Front-line handling of all communications with pharmacies, beneficiaries, and prescribers.

???? Requirements

  • Associate’s Degree in Pharmacy Technician (or equivalent work experience).
  • 1+ years in Pharmacy or member services call center.
  • Excellent oral and written communication skills in English.
  • Remote work: stable, secure internet; dedicated workspace observing HIPAA and PHI.
  • 40 hrs/week Mon-Sun; holidays; 8-hr shifts 8am-8pm AST.
  • Active Pharmacy Technician License preferred.

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