Pharmacy Member Services Representative

Medix; Las Vegas (NV); On-site; USD 35,000 - 60,000; Full time

Job summary

Medix is seeking a Pharmacy Technician (MSR) to be the main liaison for patients, pharmacies, and clients. You will resolve inquiries, troubleshoot claims, and ensure patient satisfaction remains central to every decision.

Responsibilities include omnichannel support, documenting issues, cross-department collaboration, and occasional after-hours coverage to assist patients when needed.

Qualifications

• High School Diploma or GED required.
• Current Pharmacy Technician license required.
• Proven track record of delivering excellent customer service in fast-paced settings.

Responsibilities

• Be the expert voice, assisting pharmacies, clients and patients with plan details.
• Handle multichannel inquiries via phone, email and chat.
• Troubleshoot pharmacy claims and respond to prior authorization questions.
• Record calls and issues in the ticketing system and keep queues updated.
• Collaborate across teams on special projects and escalate complex calls.
• Support the team with rotating after-hours and weekend coverage.

Skills

Customer service

Call center experience

Problem solving

Education

High School Diploma or GED

Job description

Our client is looking for an adaptable, patient-focused Pharmacy Technicians (MSR) to act as the ultimate liaison for their patients, pharmacies, and clients. In this role, you will take ownership of solving patient inquiries, troubleshooting claims, and ensuring customer satisfaction remains at the core of every decision you make.

What You'll Do

• Be the Expert Voice: Receive incoming interactions from pharmacies, clients, and patients, providing accurate support and information regarding pharmacy benefit plans while adhering to our client's policies and procedures.
• Omnichannel Support: Seamlessly manage customer interactions across multiple platforms, including phone, email, and chat.
• Problem Solve: Troubleshoot pharmacy claims submissions and provide clinical call support for prior authorization-related inquiries.
• Document & Organize: Accurately track calls and issues in the internal ticketing system and assist in keeping pharmacy outreach queues up to date.
• Collaborate: Provide cross-department support on special projects and expedite complex calls to the appropriate party for resolution.
• Support the Team: Participate in rotating after-hours and weekend coverage to ensure patients always have the help they need.

What You Bring (Required)

• High School Diploma or GED.
• Current Pharmacy Technician license.
• Proven track record of delivering excellent customer service, preferably in a fast-paced call center, pharmacy, or healthcare setting.

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).

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.