Pharmacy Help Desk Call Center Representative

RiskOne HR Consulting is seeking for
Pharmacy Help Desk Call Center Representative
for the Metro Area, with the following requirements and responsibilities:
Minimum of two years of customer service or call center experience and healthcare environment, preferred.
Pharmacy Technician, Technical or Associate Degree
Puerto Rico Board of Pharmacy Technician Registry Certificate
Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information.
Answer incoming providers and beneficiaries' calls following Call Center scripts, in a timely matter.
Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions.
Guide pharmacies, providers, and beneficiaries regarding the process of claim transmission, reimbursement, and payment
Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DUR's, HMO among others
Document all inquiries on the platforms.
Proficiency in the use of Microsoft Tools
Bilingual (English/Spanish)
Equal Employment Opportunity Employer Minorities / Females/ Disable / Veterans
Job Type: Full-time
Benefits:
401(k)
Health insurance
Schedule:
8 hour shift
Monday to Friday
Weekends as needed
Education:
Associate (Required)
Experience:
Call center: 1 year (Required)
Customer service: 1 year (Preferred)
Language:
English (Required)
Spanish (Required)
License/Certification:
Puerto Rico Board of Pharmacy Technician Registry (Required)
Work Location: In person