Associate Rx Customer Service Specialist

📋 Description

• Manage all calls, emails, faxes and web requests from pharmacies, beneficiaries, and prescribers.
• Meet CMS/client service levels: 80% within SLA, <5% abandon, <30s response.
• Provide rejection support, including overrides.
• Provide Coverage Determination status with exceptions and appeals.
• Document PA requests and inquiries per federal, department, and company policies.
• Address customer issues—payments, eligibility, provider portal support, and price appeals.

🎯 Requirements

• Associate’s Degree in Pharmacy Technician or equivalent.
• 1+ year Pharmacy/Member Services Call Center experience.
• Excellent oral and written communication; bilingual Spanish & English required.
• Remote work: stable internet; HIPAA and PHI compliant workspace.
• Available 40 hours/week, Mon-Sun, including holidays; 8:00 AM–8:00 PM AST shifts.

🎁 Benefits

• Active Pharmacy Technician License preferred.
• Experience in PBM, Medicare Part D, Commercial/Employer plans, Insurance or healthcare.