MedOne Pharmacy Benefit Solutions · 23 hours ago
Member Advocate
MedOne Pharmacy Benefit Solutions is a full-service pharmacy benefit manager serving clients and members nationwide. The Member Advocate role involves assisting members, pharmacies, and healthcare providers with pharmacy benefits while providing exceptional customer service and resolving inquiries.
Pharmaceuticals
Responsibilities
Member Advocates are the primary source of information for members, pharmacies, and physicians via phone, email, and chat
Provide information and resolve member, pharmacy, and physician inquiries. Research and resolve claim processing and eligibility issues
Serve as an intermediary between healthcare organizations and members in facilitating patient care
Compile and record information and correspondence related to member needs or requirements
Document engagement outcomes and steps taken with clarity and concision
Think quickly on one’s feet while navigating multiple systems to effectively engage with members
Work collaboratively and cooperatively with other departments to resolve issues and improve the member, physician, and pharmacy experience
Effectively work through difficult conversations with members while maintaining composure, showing empathy, and displaying active listening skills
Qualification
Required
Minimum of 1 year of customer service experience
Strong proficiency in Microsoft Office products
Willingness to obtain certification as a pharmacy technician within one year of hire
Excellent customer service and teamwork skills
Flexibility with scheduling, including rotating Saturdays and evening shifts
Reliability and punctuality
Preferred
An active CPhT (Pharmacy Tech Certification) is highly encouraged but not required
Spanish speaking abilities are highly valued for this role
Benefits
Comprehensive health, dental, and vision insurance.
401(k) with company match to secure your future.
Generous paid time off and holidays.
Opportunities for professional growth and development.