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Pharmacy Help Desk Call Center Representative

PharmPix Corp

This is a Full-time position in Irving, TX posted March 27, 2021.

nn This is your chance to unleash your full potential!

nn nn n nn nnWe are looking for successful people like you.

Join the fastest growing Pharmacy Benefit Management (PBM) company in its category and take your professional career to the next level.nn nnOur work philosophy is based on commitment, dedication and loyalty.

We take care of our employees, just as we ensure the welfare of our clients and partners.

If you are creative, service oriented, resourceful and visionary, we would like to hear from you.nn nn n nn nn Essential Roles and Responsabilities nn Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance with PharmPix Pharmacy Help Desk Call Center performance metrics.

Answer incoming providers’ and beneficiaries’ calls following Call Center scripts, in a timely matter and in accordance with PharmPix call center performance metrics.

Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards.

Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions.

Document all inquiries in the Customer Service Management Applications.

Route the case to the corresponding internal department or the appropriate Health Insurance Carrier.


Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment.

Constantly monitors the System Alert Application to ensure proper management of rejections at point of sale.

Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business.

Identify system issues and route to the corresponding internal department.

Make outbound calls to pharmacies, providers and beneficiaries if necessary.

Support all Quality Management Program initiatives.

Perform Special projects and/or other duties assigned by the Pharmacy Help Desk Call Center.

Manager and or Pharmacy Help Desk Call Center Supervisor.

nn n nn nn Training & Education nn Pharmacy Technician, Technical or Associate Degree.

nn n nn nn Licensure / Certification nn Pharmacy Technician Registry Certificate (CPhT), preferred.

nn n nn nn Professional Experience nn One (1) or two (2) years of experience in customer service or call center in healthcare environment.

nn n nn nnEEO Employer Minorities/Females/Disable/Veteransnn

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