Remote Pharmacy Benefits Specialist

ExactCare; United States; Remote; USD 42,000 - 56,000; Full time

Job summary

AnewHealth seeks a Customer Support Specialist to handle client calls, educate on plans, and resolve drug benefit concerns. The role requires a background in healthcare or pharmacy support, strong communication, and the ability to work in a fast-paced environment.

This is a full-time remote role with typical hours, offering benefits and opportunities to work with clinicians, pharmacies, and plan sponsors across the country.

Qualifications

• Associate’s degree or equivalent work experience required.
• Preferred: CPhT certification.
• Minimum 3 years in customer service/call center; 2+ years healthcare; 2+ years pharmacy support.

Responsibilities

• Answer calls with professional, courteous service.
• Document in claims adjudication software.
• Educate clients on plan policies and benefits.
• Resolve drug benefit concerns.
• Initiate prior authorization requests.
• Submit JIRA tickets for issues and pricing.

Skills

Pharmacology knowledge

Communication skills

Problem solving under pressure

Detail oriented

Computer skills

Education

Associate's degree or equivalent

CPhT Certification (preferred)

Job description

AnewHealth seeks a Customer Support Specialist to handle client calls, educate on plans, and resolve drug benefit concerns. The role requires a background in healthcare or pharmacy support, strong communication, and the ability to work in a fast-paced environment.

This is a full-time remote role with typical hours, offering benefits and opportunities to work with clinicians, pharmacies, and plan sponsors across the country.