Pharmacy Resolution Specialist — Remote, Flexible Schedule

Centene Corporation; California (MO); On-site; USD 21,862 - 37,539; Full time

Benefits offered by this job

Health insurance

401K

Tuition reimbursement

Paid time off

Flexible work schedules

Job summary

A leading health services organization is seeking a Pharmacy Resolution Specialist to handle inquiries from members and providers. The role requires a High School Diploma and at least a year of customer service experience. Responsibilities include investigating claims and providing solutions while maintaining compliance with corporate guidelines. The position offers competitive pay ranging from $15.87 to $27.25 per hour along with a comprehensive benefits package including health insurance and 401K options.

Qualifications

• Minimum 1 year of job-specific call center or customer service experience.
• Must be authorized to work in the U.S. without visa sponsorship.
• Must maintain expert knowledge on pharmacy benefits.

Responsibilities

• Respond to calls from members and provider offices.
• Log, track, resolve, and respond to inquiries and complaints.
• Assist with special projects as assigned.

Skills

Customer service skills

Problem-solving

Attention to detail

Knowledge of pharmacy benefits

Education

High School Diploma / GED

Job description

A leading health services organization is seeking a Pharmacy Resolution Specialist to handle inquiries from members and providers. The role requires a High School Diploma and at least a year of customer service experience. Responsibilities include investigating claims and providing solutions while maintaining compliance with corporate guidelines. The position offers competitive pay ranging from $15.87 to $27.25 per hour along with a comprehensive benefits package including health insurance and 401K options.