Customer Service Representative
Hybrid · United States
Core
Handle inbound calls, faxes, and electronic prior authorization (ePA) requests for prescriptions, ensuring accuracy and compliance with federal requirements.
Role type
Customer Service Representative (Prior Authorization)
Builds
Prior authorization decisions for member prescriptions
Domain
Healthcare / Pharmacy
Required skills
Phone etiquette, PC skills, multitasking, problem solving, attention to detail
Preferred skills
Pharmacy Technician license, PTCB/NHA certification, pharmaceutical knowledge, retail/medical office experience
Technologies
Google Suite, Microsoft Office, Windows-based applications
Responsibilities
Manage high volume of inbound calls/fax/ePA requests, process prior authorizations, communicate determination status to internal groups, identify and elevate clinical inquiries to pharmacists
Seniority
Entry-level, hands-on IC