Pharmacy Benefit Specialist

Highlight:

• Industry: Pharmacy, Call Center, and Customer Service
• Employment Type: 4 Month Contract-To-Hire (Long-Term)
• Location: Meridian, ID

Working with an extensive client base, TEKsystems is searching for Pharmacy Benefits Specialist to support their team in Meridian, ID. The team is looking for candidates with Pharmacy Benefit Specialist I certification or Pharmacy Technician Certified (It's okay if it's expired). The team is also open to candidates with Health Insurance or medical assistants experience.

Job Description:

• Responsible for expeditious and accurate adjudication of pharmacy claims, and the provision of excellent customer service to all members, employer groups, providers and other departments or teams.
• Rotates between pharmacy claims and customer service responsibilities and acts as a subject matter expert in both of these areas.
• Acts as a mentor to other staff as directed by department leadership.

Job Essentials:

• Processes and/or communicates multiple types of Pharmacy Benefits including coordination of benefits, direct member reimbursements, coinsurance benefits, and mail order prescriptions.
• Receives incoming calls from members, providers, facilities, employer groups, and other departments. Provides superior customer service that is consistent with policies, company values, and quality standards.
• Educates callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines, in collaboration with teammates and other departments. Makes exception / empowerment decisions within the established exception policy.
• More as assigned

Requirements:

• Pharmacy Benefit Specialist I certification or Pharmacy Technician Certified (does not have to be current – can be expired)
• Customer Service in a Healthcare Environment

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.