Primary responsibilities of a Customer Service Rep are to answers incoming calls; assists customers/pharmacies/physicians with orders and reorders, benefit eligibility questions and prescription status inquiries.
Escalates drug related calls to appropriate pharmacist.
Assist pharmacies and members on all issues related to processing of pharmacy claims.
Determines appropriateness of overriding pharmacy claims edits and error messages.
Coordinates internal resolution of claims exceptions and other issues.
Initiates correspondence with members regarding claims rejections and other benefit interpretation.
Makes outbound calls on prescriptions withhold orders and payment issues.
May also assist in logging in of new prescription orders.
Educates customers on benefits, use of plan, formulary, premiums and status of orders, claims or inquiries.
Adecco Medical & Science is a specialized medical division of the Swiss owned company Adecco SA, the 4th largest employer in the world. Our strengths in nursing, paramedical, pharmacy, technical support staff and quality assurance, give us a global platform from which to serve our many Clients.
Must have experience as a pharmacy technician
Must be certified in AZ
Training is 4 weeks with the hours of 7:00-4:30
After training is when the shift will be determined for the candidate. They must be available from 5;00am-7;00pm. No time off for training.
*** RECENT GRADS ARE ENCOURAGED TO APPLY** You MUST be certified; no experience necessary
Adecco - 9 months ago
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