Pharmacy Customer Service Representative
3 weeks ago
Rightway is a healthcare company on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient's care journey through a modern, mobile app.
We're a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
The RoleWe're looking for a Pharmacy Customer Service Representative who is motivated by our mission to unlock transformational healthcare outcomes.
To simplify the healthcare experience for employers and members, we have created a single digital platform across medical, pharmacy benefits & virtual care.
Our pharmacy benefit management (PBM) offering represents an important growth area for Rightway.
Helping clients better manage pharmacy spend to make drugs more affordable for their employees and dependents is critical to their business sustainability.
RightwayRx is responsible for designing, building and operating a new-to-the-world PBM model based on our core tenets: fairness & transparency, unlocking the supply chain, supporting the physician-patient relationship, and utilizing navigation to empower consumers.
Key Responsibilities- Handles calls and correspondence regarding pharmacy benefit inquiries from providers (pharmacy/physician) and members.
- Effectively communicate issues and resolution to members and providers.
- Document calls within a call tracking system using established protocols to ensure resolutions are clear, concise, and actionable.
- Review claims for accuracy against benefit guidelines and contract standards.
- Serve as a customer advocate in problem resolution and follow through.
- Creates and supports an environment which fosters teamwork, cooperation, respect and diversity.
- Perform other duties and projects as assigned.
- Bachelor's Degree or equivalent relevant work experience.
- Active/Current National Pharmacy Technician Certification.
- 3-5 years of relevant work experience in a health plan, TPA or PBM contact center.
- Detail-oriented, analytical, intellectually curious, good listener, empathetic, ability to challenge status quo, values exemplar.
- Prior experience working with health plan, TPA, or PBM contact center, effective & creative problem-solver, ability to prioritize and manage through change.
$21-22/hour.
We're a proud equal opportunity employer that believes in 'strength in the diversity of thought processes, beliefs, background and education' and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible.
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