Remote Pharmacy Support Specialist - New Mexico

Molina Healthcare; Northern (KY); Hybrid; USD 21.000 - 36.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Zusammenfassung

Molina Healthcare is seeking a Pharmacy Customer Service Representative. This remote role requires residency in New Mexico and involves handling inbound/outbound pharmacy calls from members, providers and pharmacies.

You will support prior authorizations, explain guidelines, and maintain accuracy in the call tracking system while upholding high customer service standards. Responsibilities include coordinating requests, assisting with medication reviews, and providing clear information on

Qualifikationen

• At least 1 year related experience, including call center or customer service.
• Excellent customer service skills.
• Ability to multitask while speaking with members.
• Ability to work independently on special projects.

Aufgaben

• Handle inbound/outbound pharmacy calls from members, providers and pharmacies.
• Coordinate and process pharmacy prior authorization requests and/or appeals.
• Explain policies and guidelines to providers, members and pharmacies.
• Maintain call quality and record calls in the tracking system.
• Assist with day-to-day pharmacy call center operations as delegated.
• Communicate plan benefits information and prior authorization outcomes.
• Support pharmacists with comprehensive medication reviews preparation.

Kenntnisse

Customer service

Call center

Microsoft Office

Excel

Tools

Call tracking system

Jobbeschreibung

Molina Healthcare is seeking a Pharmacy Customer Service Representative. This remote role requires residency in New Mexico and involves handling inbound/outbound pharmacy calls from members, providers and pharmacies.

You will support prior authorizations, explain guidelines, and maintain accuracy in the call tracking system while upholding high customer service standards. Responsibilities include coordinating requests, assisting with medication reviews, and providing clear information on