Pharmacy Customer Associate II

Elevance HealthSan Antonio, TX
Onsite

About The Position

Pharmacy Customer Associate III is responsible for responding to moderately complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions. How you will make an impact. Primary duties may include, but are not limited to: Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriately and in a timely manner. Interacts with internal and external customers (could include subscribers, providers, group or benefit administrators, physician offices, third party representatives, and other Blue Cross Plans) to provide claims, customer service, and/or membership support. Responds to client issues via telephone and written correspondence regarding insurance benefits, member/provider contracts, eligibility, claims, and related topics. Completes necessary research to provide proactive, thorough solutions. Displays ownership of service requests, ensuring high-quality resolution and follow-through. Supports and guides customers with personal options and decisions; helps customers become knowledgeable and confident using available technology, tools, and resources. Expected to multi-task across calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking with customers. Maintains focus during extended periods of sitting and performing multiple tasks in a fast-paced, high-pressure environment. Demonstrates strong verbal and written communication skills in both virtual and in-person interactions. Demonstrates attention to detail, critical thinking, and problem-solving skills. Demonstrates empathy and persistence to resolve caller issues completely. Uses digital tools and platforms to enhance productivity and minimize manual efforts. Works a structured schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. Performs other duties as assigned.

Requirements

  • Requires HS diploma or equivalent and a minimum of 1 year of the company’s experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

  • General knowledge of company pharmacy services, products, insurance benefits, contracts, and claims preferred.

Responsibilities

  • Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriately and in a timely manner.
  • Interacts with internal and external customers (could include subscribers, providers, group or benefit administrators, physician offices, third party representatives, and other Blue Cross Plans) to provide claims, customer service, and/or membership support.
  • Responds to client issues via telephone and written correspondence regarding insurance benefits, member/provider contracts, eligibility, claims, and related topics.
  • Completes necessary research to provide proactive, thorough solutions.
  • Displays ownership of service requests, ensuring high-quality resolution and follow-through.
  • Supports and guides customers with personal options and decisions; helps customers become knowledgeable and confident using available technology, tools, and resources.
  • Expected to multi-task across calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking with customers.
  • Maintains focus during extended periods of sitting and performing multiple tasks in a fast-paced, high-pressure environment.
  • Demonstrates strong verbal and written communication skills in both virtual and in-person interactions.
  • Demonstrates attention to detail, critical thinking, and problem-solving skills.
  • Demonstrates empathy and persistence to resolve caller issues completely.
  • Uses digital tools and platforms to enhance productivity and minimize manual efforts.
  • Works a structured schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
  • Performs other duties as assigned.

Benefits

  • We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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