Abarca Health is hiring a
Associate Rx Customer Service Specialist

Summary

The Associate Rx Customer Service Specialist will handle all incoming and outgoing communication with pharmacies, beneficiaries, and prescribers using the Rx Platform and other resources to resolve their needs. They are expected to manage service-level standards, provide coverage determination status, answer questions, report issues, and communicate effectively in English and Spanish. The requirements include an Associate's Degree or equivalent experience, 1+ years of experience in a Pharmacy or Call Center setting, excellent communication skills, bilingual fluency in Spanish and English, and availability during call center hours.

Requirements

• Associate’s Degree in Pharmacy Technician (or equivalent)
• 1+ years of experience working in a Pharmacy or Member Services Call Center, Retail or Hospital Pharmacy Setting
• Excellent oral and written communication skills, bilingual fluency in Spanish and English is required

Responsibilities

• Manage all incoming calls, emails, faxes and web-generated requests from pharmacies, beneficiaries, and prescribers
• Provide service-level standards set by CMS or by client
• Rejection support, including overrides
• Provide Coverage Determination status to clients including exceptions and appeals
• Answer questions and recommend corrective services to address customer complaints
• Report identified issues to the appropriate department for investigation and correction

Preferred Qualifications

• Active Pharmacy Technician License is preferred
• Experience in PBM, Medicare Part D, Commercial/Employer Plans, Insurance, Pharmacy, and / or healthcare

Benefits

We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)