Pharmacy Account Support Specialist
2 weeks ago
Position Summary
The Pharmacy Account Coordinator plays a vital role in supporting the Account Team by managing assigned accounts. Responsibilities include training clients on web tools, assisting with eligibility inquiries, troubleshooting member issues, fulfilling report requests, and coordinating with various internal departments to meet daily client needs.
This is a remote position, and we are currently seeking candidates located in specific states.
Key Responsibilities
- Provide ongoing support to clients and their representatives, addressing inquiries related to eligibility, claims, co-payments, and member information.
- Deliver accurate and timely responses to both internal and external inquiries.
- Assist in the implementation of accounts, including participation in client meetings and review of plan setups.
- Identify and escalate critical or recurring issues to ensure swift resolution, which may involve generating reports and investigating underlying causes.
- Maintain effective communication and professional relationships across departments regarding client service matters.
- Process necessary documentation through designated tools.
- Engage with various stakeholders, including medical administrators and brokers, to enhance the overall customer experience.
- Utilize multiple proprietary software systems effectively.
- Perform additional duties as assigned.
Qualifications
- A Bachelor's degree in Health Administration, Business, or a related field is preferred, though relevant experience may be considered in lieu of a degree.
- Experience in client services or account management is advantageous.
- Commitment to continuous learning in the pharmacy benefit management sector and product knowledge development.
Skills and Competencies
- Exceptional communication skills to interact professionally with diverse individuals.
- Strong interpersonal abilities for effective collaboration with clients, colleagues, and management.
- Proficient written communication and documentation skills.
- Capability to manage multiple projects effectively.
- Analytical problem-solving skills to develop effective solutions that meet client expectations.
- Attention to detail with the ability to prioritize tasks and meet deadlines.
- Proficient in MS Office Suite and various proprietary software systems.
- Flexibility and adaptability in diverse situations.
- Strong time management skills and the ability to multitask.
- Ability to work independently while contributing to team objectives.
- Adherence to all relevant policies and procedures, ensuring compliance with legal and ethical standards.
- Willingness to accommodate additional coverage times as needed.
Remote Work Requirements
- Minimum internet speed of 100mbs download and 10mbs upload, verified by HR.
- A mobile device capable of VPN connectivity.
- A dedicated workspace to minimize background noise.
- A home computer with video capabilities for interviews and training.
- A modem/router positioned for a hardwired connection.
Benefits Offered
- Comprehensive medical, dental, and vision coverage.
- Medical savings account options with company matching.
- 401K plan eligibility after a specified period of employment.
- Employee assistance programs.
- Life and supplemental insurance options.
- Educational reimbursement opportunities.
- Paid time off.
- Career development pathways.
Work Environment
This role is primarily office-based, requiring extended periods of sitting and computer use. Manual dexterity is necessary for operating standard office equipment. Occasional travel may be required based on business needs.
EOE M/F/D/V
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