Pharmacy Services Associate - PA & Member Support

Geisinger; Danville (PA); On-site; USD 38,000 - 52,000; Full time

Job summary

Geisinger in Danville, PA is seeking a Pharmacy Customer Service professional to assist leadership in processing provider and member prior authorization requests and to work with the pharmacy team in implementing policies to manage pharmacy benefits.

You will maintain policy understanding, provide high-level service to members and physicians, adhere to regulatory standards, and collaborate with pharmacists to resolve clinical issues in a timely fashion.

Qualifications

• Minimum 2 years of customer service experience.
• High School Diploma or GED is required.

Responsibilities

• Maintains understanding of all policies and procedures related to the pharmacy benefit.
• Provides the highest level of customer service and support to members and physicians.
• Adheres to all regulatory standards.
• Works with Pharmacists to resolve clinical issues with providers in a timely manner.
• Documents accurately all inquiries and prior authorization requests according to departmental policy.
• Determines appropriateness of pharmacy benefits under corresponding lines of business.
• Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters.
• Updates current pharmacy benefits and serves as a facilitator to team members.

Skills

Customer Service

Education

High School Diploma or GED

Job description

Geisinger in Danville, PA is seeking a Pharmacy Customer Service professional to assist leadership in processing provider and member prior authorization requests and to work with the pharmacy team in implementing policies to manage pharmacy benefits.

You will maintain policy understanding, provide high-level service to members and physicians, adhere to regulatory standards, and collaborate with pharmacists to resolve clinical issues in a timely fashion.