Customer Care Pharmacy Technician (Part-Time)

at  Capital Rx

REQUIRED QUALIFICATIONS:

• High school diploma or the equivalent; Associates or Bachelors degree preferred
• National Certified Pharmacy Technician (CPhT) and license required
• 2+ years of pharmacy technician experience in a clinical pharmacy setting PBM, Health Plan, or related Health Care experience required
• 2+ years of customer service experience with a passion for building customer loyalty through exceptional listening, relationship building, and strong written and verbal communication
• Experience handling prior authorization requests/understanding of prior authorization requirements preferred
• Ability to work independently with minimal supervision, stay productive in a remote, high-volume, fast-paced, metric driven call center environment
• Bilingual Spanish highly preferred
• Medicare experience preferred
  Hourly Rate: $28.00

WE HAVE AN EXCITING PART-TIME OPPORTUNITY AT CAPITAL RX THAT WILL OFFER YOU FULL-TIME HOURS DURING THE BUSY SEASON. THIS COULD BE A FANTASTIC WAY TO GAIN VALUABLE WORK EXPERIENCE AND POTENTIALLY EVEN TRANSITION TO A FULL-TIME ROLE IN THE FUTURE.

Location: Remote
Shifts: Candidates must be open to working any shift.

POSITION RESPONSIBILITIES:

• Serve as first point of contact for incoming, prior authorization inquiries and appropriately escalates cases and all intake notes to the Clinical Prior Authorization Team
• Actively intake a thorough and complete prior authorization request from prescribers and members by asking applicable drug and client specific clinical questions
• Accurately advise callers on options for exception requests (formulary, copay, early refill, etc.) based on client benefit elections and provide additional information and status updates to prescribers, members, and pharmacies
• Efficiently triage incoming phone calls with professional phone etiquette from members, prescribers and pharmacies with minimal support. Ask probing questions to identify and resolve all issues and address concerns promptly
• Serve as a point of escalation for Customer Service Representatives handling member and pharmacy calls and serve as a backup based on availability and volume as necessary Identify, accurately document, and escalate member and pharmacy concerns to the appropriate internal team including various members of the Operations Team Effectively communicate issues and solutions to members, pharmacies, and relevant internal stakeholders to ensure customers receive quality care and that the resolution meets all health and safety standards.
• Ensure customer satisfaction, extraordinary customer care, and quality resolution with genuine compassion in a fast-paced, environment
• Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies
• Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to appropriate internal staff
• Work with multiple systems, up to 2 monitors, and multitask in a fast-paced environment
• Self-starter who displays a positive attitude, strong work ethic, and excellent attendance
• Meet all departmental goals including schedule adherence, attendance, and quality monitoring
• Standard hours for training: Monday thru Friday, 9:00am – 5:30pm, Eastern
• Perform other customer support duties as assigned
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance