Pharmacy Customer Service Representative
Pharmacy Customer Service Representative
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$ 21 - 36
1 Vacancy
Job Description
Job Description
The Pharmacy Customer Service Representative serves as the initial point of contact for inquiries related to Utah Medicaid Pharmacy Services including: claims adjudication prior authorization details and pharmacy-related policy questions. This role also provides administrative support to the clinical team through data entry and other tasks associated with the pharmacy prior authorization process. Responsibilities - Deliver accurate and professional assistance to members providers and internal teams
- Document all interactions and outcomes within the appropriate internal systems
- Assist the clinical team with administrative tasks including data entry for prior authorization reviews
- Adhere to HIPAA regulations and organizational policies at all times
Handle incoming phone calls related to: Pharmacy claims adjudication issues Prior authorization requirements status updates and general inquiries Pharmacy policy interpretation and clarification
Qualifications Minimum of one year of customer service experience preferably in a healthcare pharmacy or insurance environment Strong communtion skills and the ability to manage complex inquires efficiently Proficiency in using computer systems and working in a fast-paced detail-driven environment Applicants with experience in pharmacy claims processing and related operations maybe given preference.
Work Schedule Full-time 40 hours per week Shifts scheduled Monday through Friday between 8:00 am and 6:00 pm.
Note: as of April 8 2024 DHHS employees will be working a hybrid schedule which includes 2 office days per week and 3 telework days.
Why work for the Utah Department of Health and Human Services In addition to the richbenefits the State of Utah offers the department offers:
- On-site fitness center for a minimal membership fee
- UTA Eco Pass at a discounted monthly rate
- Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
- On-site day care centerat the Cannon Health Buildingwith First Steps Day Care - contact for rates and availability or
For more information on the Utah Department of Health and Human Services please click here.
If offered this position your employment will be contingent upon passing a background check and review. There will be no cost to you for this check. This check will include fingerprinting which will be available at various DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking here.
Supplemental Information
EffectiveJuly 1 2021 State of Utah Employees must either reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
- This positionmay currently be a hybrid of both in-office and remote work days. Please note a positions eligibility for remote work is established by agency management and is subject to change at their discretion at any time and for any reason.
- Risks found in the typical office setting which is adequately lighted heated and ventilated e.g. safe use of office equipment avoiding trips and falls observing fire regulations etc.
- Typically the employee may sit comfortably to perform the work; however there may be some walking; standing; bending; carrying light items; driving an automobile etc. Special physical demands are not required to perform the work.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
