Pharmacy Benefit Rep I - Entry Level

Burgess Information Systems Inc

Southfield, MI

JOB DETAILS
SKILLS
Claims Processing, Communication Skills, Computer Skills, Customer Support/Service, Detail Oriented, Documentation, Employee Assistance Plan, Healthcare, Industry/Trade Analysis, Managed Care, Microsoft Windows Operating System, Multitasking, Organizational Skills, Pharmacy, Problem Solving Skills, Resolve Customer Issues, System Operations, Vendor/Supplier Planning
LOCATION
Southfield, MI
POSTED
2 days ago

PRINCIPLE RESPONSIBILITIES include but are not limited to:

  • Support multiple client program offerings
  • Handling general client inquiries, service calls, and problem resolution, meeting EHIM's performance standards
  • Effectively communicate with multiple parties to complete tasks from beginning to end
  • Performs benefit authorizations and modification as required and approved by client
  • Maintain up to date documentation of communications and activities between EHIM and client and/or member through EHIM system and operations
  • Proactively keeps themselves and the department educated on industry trends and developments to accurately communicate to clients
  • Performs various related duties and special projects as assigned
  • Follows all policies and procedures related to job responsibilities

SKILLS AND REQUIREMENTS

  • High school diploma or equivalent required, post high school education preferred.
  • Minimum two years' experience in a customer service position.
  • Work experience as a pharmacy technician, DMEPOS provider, claims adjuster, or a similar service position in health care or injury claim industry is preferred.
  • Must have excellent communication skills and the ability to work effectively with clients, pharmacies, vendors, and plan members.
  • Proficient PC skills in Windows-based applications.
  • Possess strong analytical skills and independent thinking/creativity.
  • Ability to be flexible and quickly adapt to changing needs within the department.
  • Must be highly organized with strong attention to detail.
  • Must be flexible with scheduled work hours.
  • Ability to work under general direction, on multiple tasks with demanding timelines.
  • Managed care background and knowledge of pharmacy terminology desired.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting

The Perks of Joining Our Team:

We believe in taking care of our team. Youll enjoy a comprehensive benefits package designed to support your well-being and financial future:

  • Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge: Paid vacation and holiday pay.
  • Focus on Your Wellness: We offer a robust Employee Wellness Program.
  • Invest in Your Future: 401 k with a company match.
  • Support System: Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People: Employee referral program.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.

ProCare Rx is an Equal Opportunity Employer

About the Company

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Burgess Information Systems Inc