Remote Pharmacy Benefits Coordinator

Johnson Service Group; Irvine (CA); Remote; USD 30,000 - 42,000; Full time

Benefits offered by this job

Weekly pay

Health insurance

Dental insurance

Vision insurance

401(k)

Job summary

Johnson Service Group is seeking a Pharmacy Benefits Coordinator for the Pharmacy Insurance Team in Orange County. This is a remote opportunity with a Mon-Fri schedule and an hourly pay rate of $26.00.

The role requires experience in Pharmacy Benefit Management or retail pharmacy practice and may favor candidates with PTCB certification. Responsibilities include handling member inquiries about prescription benefits, processing Prior Authorization requests, training CSRs, and developing customer

Qualifications

• High school diploma and 1–3 years of experience in Pharmacy Benefit Management or retail pharmacy practice, preferred.
• PTCB certification (CBP) desirable.

Responsibilities

• Respond to member questions about prescription drug benefits via telephone, email, and written correspondence in a confidential and professional manner.
• Assist Benefits Coordinator I & II with coordinating intake and processing Prior Authorization Requests between doctors, patients, and pharmacy.
• Provide support to CSRs to handle customer service inquiries.
• Assist in developing policies and procedures for customer service agents.
• Resolve escalations to meet Service Level Agreements in a timely manner.
• Responsible for the PBM customer service Help Desk daily tasks and communications.
• Develop client-facing reporting and communications with stakeholders.
• Implement and uphold "white glove" PBM customer service expectations.

Skills

PBM knowledge

Customer service

Phone & email support

Prior Authorization

English fluent

Spanish preferred

Time management

Communication skills

Education

High school diploma

1–3 years PBM or retail experience

Job description

Johnson Service Group is seeking a Pharmacy Benefits Coordinator for the Pharmacy Insurance Team in Orange County. This is a remote opportunity with a Mon-Fri schedule and an hourly pay rate of $26.00.

The role requires experience in Pharmacy Benefit Management or retail pharmacy practice and may favor candidates with PTCB certification. Responsibilities include handling member inquiries about prescription benefits, processing Prior Authorization requests, training CSRs, and developing customer