Pharmacy Care Coordinator

Medix; San Antonio (TX); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

Paid Sick Leave

Health Benefits / Dental / Vision

401k

Short Term Disability Insurance

Term Life Insurance Plan

Job summary

Medix is seeking a Pharmacy Care Coordinator to manage high-volume inbound and outbound calls to support medication adherence, prescription refills, provider follow-ups, and member outreach in a fast-paced call center environment.

You will review prescription claim documentation, resolve escalated inquiries, translate prescriber notes when needed, and support Medicare drug-related issues, while maintaining HIPAA compliance and excellent customer service.

Qualifications

• High school diploma or GED required.
• Experience working for a healthcare organization or pharmacy.
• Texas Registered Pharmacy Technician preferred.

Responsibilities

• Manages high-volume inbound and outbound calls to support medication adherence, prescription refills, provider follow-ups, and member outreach.
• Navigate multiple systems, deliver accurate information to members, providers, and clinical staff.
• Review prescription claim documentation, handle escalated inquiries, and support Medicare drug-related issues.
• Provide administrative support and participate in quality improvement initiatives.
• Adhere to HIPAA and compliance policies with strong customer service and organization.

Skills

Microsoft Office

Call center experience

Customer service

Education

High School Diploma or GED

Healthcare experience

Texas Registered Pharmacy Technician (preferred)

Job description

Job Summary

Our client is seeking a Pharmacy Care Coordinator responsible for managing high-volume inbound and outbound calls to support medication adherence, prescription refills, provider follow-ups, and member outreach in a fast-paced call center environment.

Key Responsibilities

• Manages high-volume inbound and outbound calls to support medication adherence, prescription refills, provider follow-ups, and member outreach in a fast-paced call center environment.
• Strong multitasking skills, the ability to navigate multiple systems, and delivering accurate information to members, providers, and clinical staff.
• Reviewing prescription claim documentation, handling escalated inquiries across various communication channels, translating prescriber notes, and supporting Medicare drug-related issues.
• Provides administrative support and participates in quality improvement initiatives.
• Strong customer service, professionalism, organizational skills, and strict adherence to HIPAA and compliance policies are essential.

Qualifications

• High School Diploma or GED.
• Experience working for a healthcare organization or pharmacy.
• Preferred: Texas Registered Pharmacy Technician.

Skills

• Proficiency with Microsoft Office products.
• Experience in call centers handling about 70 calls a day.
• Strong customer service and organizational skills.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix provides equal employment opportunities to all employees and applicants. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

Background Check

As a job position within our Allied division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.