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Geisinger · 17 hours ago

Pharmacy Service Representative Associate, Geisinger Health Plan (Pennsylvania resident)

Danville, PA

Full-time

Onsite

Entry Level

2+ years exp

Geisinger is a healthcare organization committed to caring for patients and communities. They are seeking a Pharmacy Service Representative Associate to assist in processing prior authorization requests and managing pharmacy benefits while providing excellent customer service to members and physicians.

Health CareHospitalMedical

Responsibilities

Maintains understanding of all policies and procedures related to the pharmacy benefit

Provides the highest level of customer service and support to members and physicians

Adheres to all regulatory standards

Works with Pharmacists to resolve clinical issues with providers in a timely manner

Documents accurately all inquiries and prior authorization requests according to departmental policy

Determines appropriateness of pharmacy benefits under corresponding lines of business

Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters

Updates current pharmacy benefits and serves as a facilitator to team members

Qualification

Customer ServicePharmacy Benefit KnowledgeRegulatory StandardsCommunication SkillsDocumentation Skills

Required

High School Diploma or Equivalent (GED)- (Required)

Minimum of 2 years-Customer Service (Required)

Benefits

Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners

Company

Geisinger

Glassdoor3.5

Geisinger is a health and wellness organization that offers orthopaedic, weight-management, and heart care services. It is a sub-organization of Risant Health.

Founded in 1915

Danville, Pennsylvania, USA

10001+ employees