Position Overview: Coordinate application of pharmacy services and benefits. Handle pharmacy-related inquiries and communicate benefit determination. Act as a liaison and information resource to internal and external pharmacy services customers. Provide pharmacy services Help-Desk support. Provide pharmacy claims processing services. Conduct claims audits and prepare prior authorization statistics.
Work Experience: Minimum six months Pharmacy Technician, Pharmacy Assistant, or equivalent experience. One year of customer service or health insurance experience desirable.
Education, Certificates, Licenses: Minimum high school diploma. Certification as a pharmacy technician through the Pharmacy Technician Certification is required upon hire or within 6 months after hire.
Knowledge: Medical terminology. Microsoft Office products including Word, Excel, and Outlook.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 0% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.