Pharmacy Service Representative Associate, Geisinger Health Plan (Hybrid - WFH and on-site Danville Pennsylvania)

Geisinger

4d • Hybrid

About The Position

Assists Pharmacy Customer Service leadership in processing provider, and member prior authorization requests. Works with the pharmacy team in implementing policies to manage pharmacy benefits.

Requirements

• High School Diploma or Equivalent (GED)- (Required)
• Minimum of 2 years-Customer Service (Required)
• Communication
• Customer Retentions
• Customer Service
• Customer Support Policies, Standards And Procedures

Responsibilities

• Hybrid: one week on-site every two weeks
• Rotating Weekend and Holiday coverage
• Maintains understanding of all policies and procedures related to the pharmacy benefit.
• Provides the highest level of customer service and support to members and physicians.
• Adheres to all regulatory standards.
• Works with Pharmacists to resolve clinical issues with providers in a timely manner.
• Documents accurately all inquiries and prior authorization requests according to departmental policy.
• Determines appropriateness of pharmacy benefits under corresponding lines of business.
• Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters.
• Updates current pharmacy benefits and serves as a facilitator to team members.
• Work is typically performed in an office environment.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
• The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Benefits

• healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners
• an atmosphere of collaboration, cooperation and collegiality

What This Job Offers

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