Pharmacy Support Specialist
2 weeks ago
This role requires a detail-oriented individual to work in a high-volume contact center environment. The successful candidate will be responsible for processing coverage determination requests within CMS timeframes, communicating pharmacy benefits to customers, and multitasking in a fast-paced environment.
Key Responsibilities
• Process coverage determination requests within CMS timeframes
• Communicate pharmacy benefits to customers through verbal and written communication
• Multitask in a high-demand environment with strong attention to detail
Requirements
• Minimum 2 years of experience in pharmacy retail, PBM, hospital, or managed care
• Experience with Microsoft programs (Outlook, Excel, Word, Access)
• Knowledge of prescription drug names, therapeutic classes, and claims processing
• Knowledge of privacy regulations
• Pharmacy Technician Certification (PTCB) preferred
Preferred Qualifications
• Medicare Part D experience
• Contact center experience
• Knowledge of CMS/NCQA regulations
• Knowledge of pharmacy claims processing
Education/Certifications
• High school diploma
• 2 years of college preferred
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