Experienced Pharmacy Customer Service Representative – Remote Opportunity with arenaflex

At arenaflex, we are dedicated to delivering exceptional customer experiences in the pharmaceutical benefits industry. As a leading provider of innovative solutions, we are seeking a talented and compassionate Pharmacy Customer Service Representative to join our remote team. If you are a certified pharmacy technician with a passion for delivering top-notch customer service, we want to hear from you!

About arenaflex

arenaflex is a forward-thinking company that is revolutionizing the way people interact with the pharmaceutical benefits industry. Our mission is to provide seamless and personalized experiences for our customers, and we are committed to building a team of dedicated professionals who share our vision. As a Pharmacy Customer Service Representative, you will play a critical role in delivering exceptional customer experiences and helping us achieve our mission.

Job Summary

We are seeking a highly motivated and experienced Pharmacy Customer Service Representative to join our remote team. As a Pharmacy Customer Service Representative, you will be responsible for answering questions and handling problems regarding pharmacy benefits, providers, or claim issues. You will also be responsible for handling inbound calls and making outbound calls to follow up with members, providers, and pharmacies as necessary. If you are a certified pharmacy technician with a passion for delivering top-notch customer service, we encourage you to apply for this exciting opportunity.

Key Responsibilities

As a Pharmacy Customer Service Representative, you will be responsible for:

• Answering questions and handling problems regarding pharmacy benefits, providers, or claim issues
• Handling inbound calls and making outbound calls to follow up with members, providers, and pharmacies as necessary
• Spending approximately 90% of your time on the phones and providing empathetic customer service
• Seeking approval for overrides and prior authorizations as needed and entering them into the claims system
• Monitoring pharmacy claims processing and completing data entry of member records
• Other duties or special projects may be assigned as necessary

Essential Qualifications

To be successful as a Pharmacy Customer Service Representative, you will need to possess the following essential qualifications:

• 1+ years of experience in the pharmaceutical healthcare industry
• A pharmacy technician certification is highly preferred (inactive also applies)
• 1+ year(s) of PBM or health benefits experience
• Experience in working in a high-volume call center is highly preferred
• High school diploma or equivalent

Preferred Qualifications

While not required, the following qualifications are highly preferred:

• 2+ years of experience in the pharmaceutical healthcare industry
• Experience in working with electronic health records (EHRs) and claims processing systems
• Strong knowledge of pharmacy benefits and claims processing
• Experience in working in a fast-paced call center environment

Skills and Competencies

To succeed as a Pharmacy Customer Service Representative, you will need to possess the following skills and competencies:

• Excellent communication and interpersonal skills
• Strong problem-solving and analytical skills
• Ability to work in a fast-paced environment and prioritize tasks effectively
• Strong attention to detail and accuracy
• Ability to work independently and as part of a team
• Strong technical skills, including proficiency in Microsoft Office and electronic health records (EHRs)

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to helping our employees grow and develop their careers. As a Pharmacy Customer Service Representative, you will have opportunities to:

• Develop your skills and knowledge in the pharmaceutical benefits industry
• Work with a talented and dedicated team of professionals
• Participate in ongoing training and development programs
• Take on new challenges and responsibilities as you grow and develop in your career

Work Environment and Company Culture

As a remote employee, you will have the flexibility to work from the comfort of your own home. Our company culture is built on the values of teamwork, innovation, and customer satisfaction. We are committed to creating a positive and inclusive work environment that supports the well-being and success of our employees.

Compensation, Perks, and Benefits

As a Pharmacy Customer Service Representative, you will be eligible for:

• Competitive hourly rate of $18.50-$19.50 per hour (BOE)
• $1 per hour shift differential for overnight shifts
• Comprehensive benefits package, including medical, dental, and vision insurance
• 401(k) retirement plan with company match
• Paid time off and holidays
• Opportunities for career growth and advancement

Pre-Screening and Application Process

To apply for this exciting opportunity, please click the "Apply Online" button below. If you are currently registered with arenaflex, please log in to add yourself as a candidate to this job. If you are not currently registered with arenaflex, please create an account to complete the application and select the Frisco branch. Apply Job! We look forward to hearing from you and exploring this exciting opportunity together! Apply for this job