Pharmacy Call Center Representative

  • Location

    Bourbonnais, United States

  • Sector:

    Other Area(s)

  • Job type:


  • Contact:

    Leric Arcigal

  • Job ref:


  • Published:

    over 1 year ago

  • Expiry date:


  • Processes coverage determination requests received by mail, fax, electronic portal or telephone.
  • Works in various queues to ensure proper handling of all processes related to coverage determination requests.
  • Works with time sensitive material and must adhere to mandates turnaround times on all work.
  • Responds to inquiries from customers for information and assistance related to coverage determinations.
  • Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
  • Seeks assistance with complex customer services issues.
  • Makes outbound notification calls to members and/or their appointed representatives regarding status of requests.