Pharmacy Customer Service

TEKsystems • Harrisburg, PA

2d • $19 - $20 • Remote

About The Position

TEKsystems is hiring a fully remote Healthcare/Pharmacy Customer Service Representative to support members, providers, pharmacies, brokers, and internal teams with pharmacy benefit and prescription drug coverage questions. Many callers are trying to fill a medication and need timely, accurate help understanding coverage, resolving claim rejections, or identifying next steps. The role is based in the Eastern time zone and is available to candidates in Florida, Georgia, Maryland, New Jersey, North Carolina, Pennsylvania, South Carolina, and Texas.

The representative responds to inbound questions about commercial pharmacy benefits, prescription coverage, pharmacy claims, and plan information. They research issues through internal systems, routing queues, vendor applications, plan documents, and knowledge resources; interpret benefit information and requirements; document interactions; and escalate complex issues as needed. The role requires compliance with HIPAA and other organizational, plan, and regulatory requirements, as well as meeting quality, productivity, and customer experience expectations in a structured, monitored environment. Training and coaching help representatives maintain current knowledge of benefits, plan requirements, and internal processes.

This is a contract position based out of Harrisburg, Pennsylvania, and is described as fully remote. The listed pay range is $19.00–$20.00 per hour. The anticipated application deadline is October 29, 2026. Benefits for eligible workers in this temporary role may include medical, dental and vision coverage; critical illness, accident and hospital coverage; a 401(k) retirement plan; life insurance; short- and long-term disability; a Health Spending Account; transportation benefits; an Employee Assistance Program; and time off or leave such as PTO, vacation, or sick leave. Eligibility and terms may depend on job classification, employment length, elections, and plan or program terms.

Requirements

• High school diploma or GED.
• Prior customer service or call center experience.
• Strong verbal and written communication skills.
• Ability to explain detailed or complex information clearly and professionally.
• Strong attention to detail and accuracy.
• Comfort navigating multiple systems while assisting callers.
• Ability to work independently and as part of a team.
• Reliable attendance and ability to work in a structured, performance-driven environment.
• The posting also states a must-have of 2–3 years of healthcare call center/customer service experience, medical scheduling experience, or related experience.

Nice To Haves

• Healthcare call-center or health-plan member-services experience.
• Commercial health-insurance or pharmacy-benefit experience.
• PBM, prescription-coverage, pharmacy-claims, or prior-authorization experience.
• Claims, benefits, insurance, or member-services experience.
• Pharmacy technician or pharmacy-support experience.
• Experience with insurance verification or authorizations.
• Healthcare insurance experience.

Responsibilities

• Respond to inbound calls and inquiries about commercial pharmacy benefits, prescription coverage, pharmacy claims, and plan information.
• Assist members, providers, brokers, internal teams, and other stakeholders with pharmacy-related questions and issue resolution.
• Research and resolve inquiries using internal systems, routing queues, vendor applications, plan documents, and knowledge resources.
• Review and interpret pharmacy benefit information, policies, procedures, and plan requirements to provide accurate guidance.
• Document interactions thoroughly and accurately according to compliance and procedural standards.
• Escalate complex issues when needed and coordinate with internal teams or vendor contacts to support resolution.
• Maintain compliance with HIPAA and organizational, plan, and regulatory requirements.
• Meet quality, productivity, and customer experience expectations in a structured, monitored environment.
• Participate in training and coaching to maintain current knowledge of commercial pharmacy benefits, plan requirements, and internal processes.

Benefits

• Medical, dental, and vision coverage, if eligible.
• Critical illness, accident, and hospital coverage, if eligible.
• 401(k) retirement plan with pre-tax and Roth post-tax contributions available, if eligible.
• Voluntary life and AD&D insurance for the employee and dependents, if eligible.
• Short- and long-term disability, if eligible.
• Health Spending Account (HSA), if eligible.
• Transportation benefits, if eligible.
• Employee Assistance Program, if eligible.
• Time off or leave, including PTO, vacation, or sick leave, if eligible.

What This Job Offers

• Education Level: High school or GED