Pharmacy Customer Service Representative

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Responsibilities

As a Pharmacy Customer Service Representative, you will be assisting our customers on issues related to benefit eligibility questions and prescription status inquiries.

 

Help guide and educate customers on their prescription benefits, use of plan, formulary, premiums and status of orders, and claims or inquiries.

 

Ask appropriate questions and listen actively to identify any questions or issues while documenting required information in computer systems.

 

Identify issues and communicate solutions and steps to customers, pharmacies, and physicians with prescription orders and reorders.

 

Escalate drug related calls as appropriate to licensed pharmacist for resolution.

 

Coordinate internal resolution of claims exceptions and other issues to include determining appropriateness of overriding pharmacy claims edits and error messages.

 

Make outbound calls to customers on prescriptions withhold orders and payment issue.

 

May also assist with entering new prescription orders into system.

 

Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance.

Requirements

  • Candidate must possess at least a Some College (But did not graduate), Bachelor's/College Degree on any course.
  • Preferably Non-Executive specializing in Customer Service or equivalent.

Additional Requirements

  • Candidate must possess at least a Some College (But did not graduate), Bachelor's/College Degree or equivalent.
  • Applicants must be willing to work in Taguig City.
  • Preferably Non-Executive specializing in Customer Service or equivalent.
  • Full Time position(s) are available.

Additional Information

  • Location: Taguig City, NCR.
  • Full Time position(s) are available.
  • Number of vacancies: 20.

Careers at Optum

If you’re going to change careers, why not look for an employer that’s out to change everything? If you have that kind of appetite for change, Optum is the right place for you. As part of the growing UnitedHealth Group family of businesses, we’re driving innovation and change all over the world. That’s creating opportunity right here in the Philippines for people with energy, passion and a focus on quality. We’re driven to help people live healthier lives and to helpmake the health care system work better for everyone. We want to make a difference and that makes this the one job opportunity that can change everything for you.