Abarca Health · 3 days ago
Associate Rx Customer Service Specialist
United States
Full-time
Remote
Entry Level
1+ years expAbarca is igniting a revolution in healthcare by redefining pharmacy benefits with smarter technology. As the Associate Rx Customer Service Specialist, you will handle all incoming and outgoing communications with pharmacies, beneficiaries, and prescribers, ensuring high service-level standards are met.
Health CareInformation Technology
No H1B
U.S. Citizen Only
Responsibilities
Manage all incoming calls, emails, faxes and web-generated requests from pharmacies, beneficiaries, and prescribers
Provide service-level standards set by CMS or by client; 80% of calls should fall within service level, less than 5% abandon rate and speed to answer should be less than 30 seconds
Rejection support, including overrides
Provide Coverage Determination status to clients including exceptions and appeals
Administrative PAs- Document PA request inquiries, issues, status, and resolution in accordance with federal and department and company policies and guidelines
Answer questions and recommend corrective services to address customer complaints, payment status, manual reversal requests, benefit and eligibility support, provider portal support and response to price appeals
Report identified issues to the appropriate department, for investigation and correction, following the established procedure
Qualification
Required
Associate's Degree in Pharmacy Technician (in lieu of a degree, equivalent, relevant work experience may be considered)
1+ years of experience working in a Pharmacy or Member Services Call Center, Retail or Hospital Pharmacy Setting
Excellent oral and written communication skills, bilingual fluency in Spanish and English is required
To work remotely, must have a stable, secure, and efficient internet connection. Dedicated workspace observing HIPAA and PHI protocols
Must be available to work 40 hours per week, Monday through Sunday—including holidays—with flexibility to work any 8-hour shift within our standard business hours of 7:00 AM to 8:00 PM PST
Preferred
Active Pharmacy Technician License is preferred
Experience in PBM, Medicare Part D, Commercial/Employer Plans, Insurance, Pharmacy, and / or healthcare
Company
Abarca Health
Abarca Health is an information technology company that offers healthcare IT services
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Adriana Ramirez
President & COO
Recent News
News is my Business
2025-10-31
News is my Business
2025-03-27
Company data provided by crunchbase