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JSG (Johnson Service Group, Inc.) · 1 day ago

Pharmacy Benefits Coordinator

United States

Contract

Remote

Entry Level

$26/hr - $26/hr

1+ years exp

Johnson Service Group (JSG) is seeking a Pharmacy Benefits Coordinator. The primary function of this role is to handle inbound calls for the Pharmacy Benefit Manager, assisting with various customer service inquiries and operational tasks related to pharmacy benefits.

B2BConsultingHuman ResourcesInternetStaffing Agency

Responsibilities

Ability to respond to a wide-variety of member questions via telephone, e-mail and written correspondence regarding prescription drug benefits in a confidential, professional and ethical manner

Assist Benefits Coordinator II with coordinating intake and processing of Prior Authorization Requests

Provide support to Benefits Coordinator II with training CSRs to handle customer service inquiries

Assist the Benefits Coordinator II in developing policies and procedures for our customer service agents

Provide assistance to Benefits Coordinator II and Supervisor in resolving all escalations in a timely manner in order to meet our Service Level Agreements

Responsible for the PBM customer service Help Desk for day-to-day tasks. Call Tracking, after hours voicemail, customer service e-mails, direct member reimbursements, FDA recalls etc

Provide the Benefit II coordinator support to develop client-facing reporting and communications

Assist the Benefit II coordinator Implement PBM client management activities to achieve maximum revenue attainment, compliance to client plan documents, and patient participation for contracted business arrangements with clients, brokers, and payer organizations

Responsible for implementing “white glove” customer service expectations for the PBM

Achieve service level targets with our e-mail box, call-tracking episodes, organizing documents in the H drive, prior authorization invoices, and other areas of pharmacy operations

Utilize creative methods to understand how our customer’s perceive their interactions with Pinnacle Rx Solutions and the process for getting their medications

Support leadership in researching new business opportunities

Provide suggestions and contribute to workflow improvements

Contribute to team of highly skilled and talented experts who maintain the current reporting environment and work to continually improve it by delivering operational reporting products, including critical metric reporting, performance dashboards, work-in-progress trackers and forecasting

Back-up and assist the Pharmacy Benefit Analyst II in performing process Improvements, reporting and analytics, project management, and quality assurance activities

Qualification

Pharmacy Technician CertificationPharmacy Benefit ManagementMicrosoft Office SuiteAnalytical thinkingProblem-solvingPatient Care orientedProject-based task skillsResearch skillsCommunication skills