Associate Rx Customer Service Specialist

📋 Description

• Manage incoming calls, emails, faxes, and web requests from pharmacies and prescribers.
• Meet service levels: 80% SLA, <5% abandoned calls, <30s response.
• Rejection support, including overrides.
• Provide Coverage Determination status to clients, including exceptions and appeals.
• Document PA requests, inquiries, and resolutions per policies.
• Answer questions and recommend corrective actions for complaints, payments, and eligibility.

🎯 Requirements

• Associate's Degree in Pharmacy Technician (or equivalent work experience).
• 1+ years in a Pharmacy or Member Services Call Center, Retail or Hospital Pharmacy Setting.
• Excellent oral and written communication; bilingual Spanish and English required.
• Remote work: stable internet, dedicated workspace, HIPAA and PHI compliance.
• Available to work 40 hours/week, including holidays, within 8:00 AM–8:00 PM AST.