Rightway is hiring a
Pharmacy Customer Service Representative

Summary

Join Rightway as a Pharmacy Customer Service Representative to help simplify the healthcare experience for employers and members by resolving pharmacy benefit inquiries from providers and members.

Requirements

• Education level: Bachelor’s Degree or equivalent relevant work experience
• Active/Current National Pharmacy Technician Certification
• Work experience: 3-5 years of relevant work experience in a health plan, TPA or PBM contact center

Responsibilities

• Handles calls and correspondence (electronic and written) regarding pharmacy benefit inquiries from providers (pharmacy/physician) and members
• Effectively communicate issues and resolution to members and providers
• Document calls within a call tracking system using established protocols to ensure resolutions are clear, concise, and accurate
• Assist network pharmacies in processing prescription claims. Review claims for accuracy against benefit guidelines and contract standards
• Serve as a customer advocate in problem resolution and follow through
• Creates and supports an environment which fosters teamwork, cooperation, respect and diversity
• Perform other duties and projects as assigned