Job Description
Responsibilities:
- Handle incoming calls from pharmacies and providers in a professional, confidential, and timely manner.
- Register and update patient and request information in electronic systems with accuracy.
- Guide pharmacies on benefit coverage, claim submissions, and authorization processes.
- Perform system adjustments and overrides to ensure proper claim resolution.
- Support pharmacies with claim-related issues and processing questions.
- Assist with onboarding or guidance for pharmacy representatives.
- Follow CMS and applicable regulatory standards in all assigned duties.
- Complete additional operational tasks as assigned by leadership.
Requirements: - Pharmacy Technician Associate Degree from an accredited school.
- Active and unrestricted Pharmacy Technician License in Puerto Rico.
- Minimum of one (1) years’ experience in retail pharmacy, preferred.
- Basic understanding of pharmacotherapy concepts for accurate case evaluation.
- Intermediate proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
- Strong verbal and written communication skills.
- Ability to analyze situations, identify solutions, and work with minimal supervision.
- High level of organization, time management, and attention to detail.
- Available to work rotating schedules 7 days a week between 7:00am and 11:00pm.
Equal Employment Opportunity Employer.
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