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Mid LevelFull-timeAWS
Salary Range
$72,250 - $97,750 /year
This salary is estimated based on similar roles. The actual salary may vary.
About the Role
Abarca Health LLC is seeking an Associate Rx Customer Service Specialist to serve as the front line of communication with pharmacies, beneficiaries, and prescribers. This role involves resolving caller needs using the Rx Platform and other resources.
Key Responsibilities
- →Manage all incoming calls, emails, faxes, and web-generated requests from pharmacies, beneficiaries, and prescribers.
- →Provide service-level standards set by CMS or by client, ensuring 80% of calls fall within service level, less than 5% abandon rate, and speed to answer is less than 30 seconds.
- →Provide Coverage Determination status to clients, including exceptions and appeals.
- →Document PA request inquiries, issues, status, and resolution in accordance with federal and company policies.
- →Answer questions and recommend corrective services to address customer complaints, payment status, manual reversal requests, benefit and eligibility support, provider portal support, and response to price appeals.
- →Report identified issues to the appropriate department for investigation and correction.
Requirements
- ✓Associate’s Degree in Pharmacy Technician or equivalent work experience.
- ✓1+ years of experience working in a Pharmacy or Member Services Call Center, Retail or Hospital Pharmacy Setting.
- ✓Excellent oral and written communication skills, bilingual fluency in Spanish and English is required.
- ✓Must have a stable, secure, and efficient internet connection with a dedicated workspace observing HIPAA and PHI protocols.
- ✓Must be available to work 40 hours per week, Monday through Sunday, including holidays, with flexibility to work any 8-hour shift within standard business hours.
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