Molina Healthcare
Customer Service Representative, Medicare Pharmacy (Remote)
This job is now closed
Job Description
- Req#: 2026441
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay
- Opportunity for career advancement and growth within the organization
- Work remotely anywhere within the continental U.S.
- Supportive and collaborative work environment
- Chance to make a positive impact on client satisfaction and member experience
What to Expect (Job Responsibilities):
- Handle and record inbound pharmacy calls from members, providers, and pharmacies
- Provide coordination and processing of pharmacy prior authorization requests and/or appeals
- Explain Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines to stakeholders
- Assist with clerical services/tasks and day-to-day operations
- Maintain specific quality and quantity standards
What is Required (Qualifications):
- Must have a High School Diploma or GED equivalent
- 1-3 years of call center or customer service experience
- Preferred education: Associate degree
- 3-5 years of healthcare industry experience preferred
- National pharmacy technician certification
How to Stand Out (Preferred Qualifications):
- 0-2 years of experience as an Rx Technician or Customer Service Representative in a healthcare-related service
#HealthcareServices #CustomerService #CareerOpportunity #CompetitivePay #TrainingProvided
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.
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