Patient Services Representative

LucyRx; Fresno (CA); On-site; USD 40,000 - 52,000; Full time

Job summary

LucyRx in Fresno, CA seeks a Patient Services Representative I who will act as a liaison, answer questions, and resolve emerging problems that our pharmacies and patients face with accuracy and efficiency. The successful candidate will own issues from start to finish and keep patient satisfaction at the core.

Responsibilities include handling calls, troubleshooting claims, providing prior authorization support, documenting outcomes in the ticketing system, and managing Omni channel interactions

Qualifications

• High School Diploma or GED required.
• Minimum of 1 year experience in a customer service role.
• Proficient in MS Office (Outlook, Excel, Word, Teams).
• Excellent communication and customer service skills.
• Able to work in a fast-paced environment and on rotating shifts.

Responsibilities

• Receives calls from pharmacies, clients, and patients and provides information or support following policies.
• Troubleshoots claims submissions and documents calls in the ticketing system.
• Provides call support for prior authorization related inquiries and documents in the ticketing system.
• Escalates issues as needed and maintains up-to-date outreach queues.
• Demonstrates omni-channel experience across phone, email, chat, and other digital channels.

Skills

Excellent communication skills

Excellent customer service skills

Multitasking

Adaptability

Team player

Education

High School Diploma or GED

Tools

MS Office Suites (Outlook, Excel, Word, Teams)

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!We're committed to bringing passion and customer focus to the business.A Patient Services Representative I will act as a liaison, answer questions, and resolve any emerging problems that our pharmacies/patients might face with accuracy and efficiency. The successful candidate will be able to accept ownership for effectively solving patient issues, complaints, and inquiries; keeping customer satisfaction at the core of every decision and behavior.**Role and Responsibilities*** Receives calls from pharmacies, clients, and patients and provides the requested information or support while following LucyRx's policies and procedures for the release of information* Troubleshoots pharmacy claims submission and documents calls in the ticketing system* Provides clinical call support for prior authorization-related calls and documents in the ticketing system* Understanding of pharmacy benefit plans and how to access the plan information, as well as how to communicate this information to patients accurately* Escalates incoming customer service calls when needed to the appropriate party for resolution* Assist with keeping the pharmacy outreach queues up to date* Demonstrate OMNI channel experience by effectively managing customer interactions across multiple communication platforms, including phone, email, chat, and other digital channels, ensuring a seamless and consistent service experience.* Cross-department support with projects as needed* Will be required to provide after-hours support on a rotational basis with other team members* Other duties as assigned**Qualifications and Education Requirements*** High School Diploma or GED required* A Minimum of 1 year experience in a customer service role, preferably in a call center, pharmacy or healthcare setting* Proficient in MS Office Suites - Outlook, Excel, Word, and Teams* Excellent communication skills* Excellent customer service skills to maintain LucyRx's high standard of patient service* Adaptable and work well in a fast-paced environment, multitasking while keeping focus on the customer* Flexibility to work different shifts (including evenings, weekends, or holidays)**Physical Requirements**The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. Regularly operates a computer, mouse, keyboard, and occasionally other standard office equipment, such as a printer, copier, and phone.## CareersAt LucyRx, you won't just have a job, you'll have a purpose. As a luminary - a person who inspires, influences, and lights the way forward - you'll be part of a team reimagining what's possible in pharmacy benefits.Join a team that's leading the charge toward a more transparent, accountable, and people-first approach to prescription benefits. If you're ready to challenge the status quo and illuminate a better path forward, you're in the right place.