Remote Pharmacy Benefits Specialist

AnewHealth; United States; On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical/dental/vision

401(k)

Paid time off

Paid holidays

Job summary

AnewHealth is seeking a Customer Support Specialist to handle client calls with professionalism, documenting interactions and educating on plan benefits. The role supports members, clinicians, pharmacies, and plan sponsors while upholding HIPAA guidelines.

Responsibilities include handling inquiries, resolving drug benefit issues, initiating prior authorizations, and collaborating with internal teams to ensure accurate adjudication and timely responses.

Qualifications

• Minimum 3 years in customer service/call center environments.
• Healthcare experience preferred.
• Experience in pharmacy support or plan/benefit understanding is a plus.

Responsibilities

• Answer calls with professional, courteous service.
• Document all interactions in claims software.
• Educate clients on plan policies, benefits, and procedures.
• Handle drug benefit concerns and prior authorization requests.

Skills

Customer service

Communication

Problem solving

Detail oriented

Technical skills

Education

Associate degree

CPhT Certification

Tools

JIRA

Job description

AnewHealth is seeking a Customer Support Specialist to handle client calls with professionalism, documenting interactions and educating on plan benefits. The role supports members, clinicians, pharmacies, and plan sponsors while upholding HIPAA guidelines.

Responsibilities include handling inquiries, resolving drug benefit issues, initiating prior authorizations, and collaborating with internal teams to ensure accurate adjudication and timely responses.