Pharmacy Care Representative - Work From Home Pennsylvania
About The Position
CVS Health/Specialty is offering an exciting opportunity to be part of our Pharmacy Care Representative team. In this customer service role, you will interact directly with customers to answer questions, solve problems, provide education, and maintain our company’s reputation for high-quality service. This includes new patient enrollment, verification of insurance coverage, performing benefit investigations and processing of medication orders for both new and existing patients. Qualified candidates will be comfortable in a multi-tasking, high-energy environment. Creative problem solvers with a passion for excellent customer service.
Requirements
- 1+ years of experience in a customer service role handling and resolving a high volume of complex customer needs over the phone.
- 1+ years of work experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word) internet navigation, and email applications.
- 1+ years of computer keyboarding experience, skills and aptitude.
- You must have a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite are not permitted.
- A secure and private home workspace free from distractions is required.
Nice To Haves
- Prior healthcare work experience and familiarity with benefits, insurance, prescriptions, medical terminology.
Responsibilities
- Conduct inbound or outbound phone calls to patients regarding complex Specialty medication orders, benefits verification, and new patient enrollment.
- Coordinate and process requests for new and refill order shipments.
- Collect appropriate information needed to ensure insurance coverage for patient medication orders.
- Verify eligibility, prior authorization, and other reimbursement requirements prior to shipment.
- Assist in enrolling and tracking new customer referrals.
- Provide explanation of CVS/Specialty services to new customers.
- Transfer/escalate clinical questions and issues to the staff pharmacist for resolution.
Benefits
- medical
- dental
- vision insurance
- supplemental benefits
- discount programs
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
