Pharmacy Benefit Rep I - Entry Level

ProCare Rx Career • Southfield, MI

10d • Hybrid

About The Position

This entry-level position involves supporting multiple client program offerings, 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 representative will also stay educated on industry trends and developments to accurately communicate with clients and perform various related duties and special projects as assigned, adhering to all relevant policies and procedures.

Requirements

• High school diploma or equivalent required
• Minimum two years’ experience in a customer service position
• Must have excellent communication skills and the ability to work effectively with clients, pharmacies, vendors, and plan members
• 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
• 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 and holiday pay
• Employee Wellness Program
• 401 k with a company match
• Employee Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED