Pharmacy Benefit Rep I - Entry Level

Burgess Information Systems Inc

  • Southfield, MI
  • 30+ days ago
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    Skills

    • Claims Processingunmatched
    • Communication Skillsunmatched
    • Computer Skillsunmatched
    • Customer Support/Serviceunmatched
    • Detail Orientedunmatched
    • Documentationunmatched
    • Employee Assistance Planunmatched
    • Healthcareunmatched
    • Industry/Trade Analysisunmatched
    • Managed Careunmatched
    • Microsoft Windows Operating Systemunmatched
    • Multitaskingunmatched
    • Organizational Skillsunmatched
    • Pharmacyunmatched
    • Problem Solving Skillsunmatched
    • Resolve Customer Issuesunmatched
    • System Operationsunmatched
    • Vendor/Supplier Planningunmatched

    Description

    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

    Numbers & Facts

    LocationSouthfield, MI

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