Pharmacy Customer Service Representative
Pharmacy Customer Service Representative
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Job Description
Lets do great things together!
About Moda
Founded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Lets be better together.
Position Overview:
Are you a dynamic communicator who thrives in a fastpaced environment
Join our team as a Pharmacy Customer Services Representative and be a part of an exciting journey in delivering exceptional customer service experiences.
Start Date:
06/02/2025
Pay Range
$18.03 $20.18 hourly DOE.
*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Starting Salary: $18.03/hr
Please fill out an application on our company page linked below to be considered for this position:
Functions:
- Handle a high volume of incoming calls from members agents providers hospitals pharmacists Pharmacy Benefit Managers and Mail Order carriers regarding pharmacy benefits or other issues with professionalism and empathy.
- Provide customer service to members of multiple benefit plans by analyzing the callers needs and by providing timely and accurate responses.
- Conduct thorough research to ensure accurate responses to complex customer queries.
- Work in a fastpaced environment adapting to changing customer needs and maintaining a positive attitude all while keeping confidentiality of information for all members by adhering to Moda privacy policies and HIPAA laws and guidelines.
- Exercising good judgment initiative and discretion in confidential and sensitive matter.
- Contacts physicians pharmacies and Pharmacy Benefit Managers when necessary to answer questions and obtain or provide information
- Collaborate with a team of dedicated professionals and follow the guidance of experienced leadership.
- Provide accurate information in a professional manner using current technology and software to document calls from members providers and other customers in a clear and concise manner.
- Opportunities for professional growth and career advancement.
- Comprehensive training program to equip you with the skills needed for success.
- Supportive and collaborative team environment.
Basic Qualifications:
Required Work Experience
- Oneyear medical insurance or other healthcare related field.
- One year call center or customer service.
Education:
- High School Diploma or equivalent
- Proficient computer skills (Type a minimum of 25 wpm & 10key)
- Must be proficient with Microsoft Office applications and able to learn other systems as they pertain to the position
Preferred Qualifications:
- Medical terminology knowledge
- Previous pharmacy experience or knowledge
- Excellent verbal and written communication skills and ability to interact professionally patiently and courteously with customers over the phone
- Good analytical problem solving and decisionmaking skills
- Ability to work well under pressure with frequent interruptions and shifting priorities
- Ability to come to work on time and be ready to work at the time of assigned shift
- Ability to handle difficult angry calls and benefit issues with little assistance
Benefits:
- Medical Dental Vision Pharmacy Life & Disability
- 401K Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid training
- Tuition reimbursement
- Vision insurance
- Work from home
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race religion color age sex sexual orientation national origin marital status disability veteran status or any other status protected by law. This is applicable to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absences compensation and training.
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our email.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
