Pharmacy Benefit Rep I - Entry Level
About The Position
This entry-level position involves supporting multiple client program offerings by handling general client inquiries, service calls, and problem resolution while meeting performance standards. The role requires effective communication with various parties to complete tasks, performing benefit authorizations and modifications, and maintaining up-to-date documentation of communications and activities within the EHIM system. The position also involves proactively staying educated on industry trends and developments, performing related duties and special projects, and following all relevant policies and procedures.
Requirements
- High school diploma or equivalent required
- Minimum two years’ experience in a customer service position
- Proficient PC skills in Windows-based applications
- Possess strong analytical skills and independent thinking/creativity
- Ability to be flexible and quickly adapt to changing needs within the department
- Must be highly organized with strong attention to detail
- Must be flexible with scheduled work hours
- Ability to work under general direction, on multiple tasks with demanding timelines
Nice To Haves
- post high school education preferred
- Work experience as a pharmacy technician, DMEPOS provider, claims adjuster, or a similar service position in health care or injury claim industry is preferred
- excellent communication skills and the ability to work effectively with clients, pharmacies, vendors, and plan members
- Managed care background and knowledge of pharmacy terminology desired
Responsibilities
- Support multiple client program offerings
- Handling general client inquiries, service calls, and problem resolution, meeting EHIM’s performance standards
- Effectively communicate with multiple parties to complete tasks from beginning to end
- Performs benefit authorizations and modification as required and approved by client
- Maintain up to date documentation of communications and activities between EHIM and client and/or member through EHIM system and operations
- Proactively keeps themselves and the department educated on industry trends and developments to accurately communicate to clients
- Performs various related duties and special projects as assigned
- Follows all policies and procedures related to job responsibilities
Benefits
- Medical
- Dental
- Vision
- Short-Term/Long-Term Disability Insurance
- Life insurance
- Paid vacation
- Holiday pay
- Employee Wellness Program
- 401 k with a company match
- Employee Assistance Program
- Employee referral program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
