Pharmacy Call Center (Technician)

Firma de Reclutamiento en PRCupey y Manatí, PR
Onsite

About The Position

Handle incoming calls from pharmacies and providers in a professional, confidential, and timely manner. Register and update patient and request information in electronic systems with accuracy. Guide pharmacies on benefit coverage, claim submissions, and authorization processes. Perform system adjustments and overrides to ensure proper claim resolution. Support pharmacies with claim-related issues and processing questions. Assist with onboarding or guidance for pharmacy representatives. Follow CMS and applicable regulatory standards in all assigned duties. Complete additional operational tasks as assigned by leadership.

Requirements

  • Pharmacy Technician Associate Degree from an accredited school.
  • Active and unrestricted Pharmacy Technician License in Puerto Rico.
  • Basic understanding of pharmacotherapy concepts for accurate case evaluation.
  • Intermediate proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
  • Strong verbal and written communication skills.
  • Ability to analyze situations, identify solutions, and work with minimal supervision.
  • High level of organization, time management, and attention to detail.

Nice To Haves

  • Minimum of one (1) years’ experience in retail pharmacy, preferred.

Responsibilities

  • Handle incoming calls from pharmacies and providers in a professional, confidential, and timely manner.
  • Register and update patient and request information in electronic systems with accuracy.
  • Guide pharmacies on benefit coverage, claim submissions, and authorization processes.
  • Perform system adjustments and overrides to ensure proper claim resolution.
  • Support pharmacies with claim-related issues and processing questions.
  • Assist with onboarding or guidance for pharmacy representatives.
  • Follow CMS and applicable regulatory standards in all assigned duties.
  • Complete additional operational tasks as assigned by leadership.
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