Job Information
TEKsystems Pharmacy Benefit Specialist in Murray, Utah
One of the Premier Healthcare Insurance companies out of Utah is interested in hiring Pharmacy Benefits Specialists to their team. These positions will sit in the Murray area and our long term opportunities!
Description:
Responsible for expeditious and accurate adjudication of pharmacy claims, and the provision of excellent customer service to all members, employer groups, providers and other departments or teams. Rotates between pharmacy claims and customer service responsibilities and acts as a subject matter expert in both of these areas. Acts as a mentor to other staff as directed by department leadership.
Responsibilities Include:
Processes and/or communicates multiple types of pharmacy benefits including coordination of benefits, direct member reimbursements, coinsurance benefits, and mail order prescriptions.
Receives incoming calls from members, providers, facilities, employer groups, and other departments. Provides superior customer service that is consistent with policies, company values, and quality standards.
Educates callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines, in collaboration with teammates and other departments. Makes exception / empowerment decisions within the established exception policy.
Consistently demonstrates excellent customer service skills including problem solving, telephone etiquette, and responsiveness to customers.
More Responsibilities as assigned
Qualifications - Candidates should align with at least 1 of the following:
Pharmacy Benefit Specialist I certification or Pharmacy Technician Certified (does not have to be current – can be expired)
Demonstrated experience in a pharmacy benefits support role
3+ years of health insurance
pharmacy technician interns and trainees
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.