Experienced Pharmacy Technician - Customer Care Representative - Remote - arenaflex West
Join the arenaflex Team and Revolutionize the World of Prescription Benefits Management!
Are you an "A Player" looking for a new challenge, a fulfilling career, and a family-based values company? Look no further! arenaflex is a Prescription Benefits Management (PBM) company that manages prescription plans for self-insured businesses. We're on a mission to provide exceptional service to our clients and their members, and we're looking for talented individuals like you to join our team!
About arenaflex
arenaflex is a company that values Integrity, Respect, Innovation, and Service above all else. Our core values are the foundation upon which we build our business, and we're committed to providing a high level of service to our clients and their members. Our culture is positive, and our people possess a 'can do, proactive attitude - staying out in front of the curve so that we can best advise our clients of the ever-changing world in prescription management.
What Sets Us Apart
Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them when and where needed. Our team members enjoy a range of benefits, including:
- Robust benefits and a strong salary
- ESOP - Team Member Owned
- Employee Assistance Program
- Wellness Program
- Dream Manager Program (yes, it's a real thing!)
- A cohesive, family-based culture
- Charitable contributions
- Lots of celebrations!
What We Need from You
We're looking for a highly skilled and motivated Pharmacy Technician - Customer Care Representative to join our team. As a key member of our team, you will be responsible for performing all tasks relative to in-house and external communications with arenaflex clients and members. Your primary responsibilities will include:
- Responding to member and client inquiries and assisting members with appropriate prescription benefits
- Troubleshooting claim processing problems and/or inquiries in the claims adjudication system
- Providing administrative support to Clinical Care, Account Management & Executive teams
- Providing amazing care to those who call and need our help and/or service
The Fundamentals for the Job
* Account Inquiries & Claims Processing
- Receive phone calls/emails from members, clients, pharmacies, and/or physician offices
- Troubleshoot claim processing problems and/or inquiries in the claims adjudication system
- Respond to website inquiries
- Become proficient in all aspects of the claims adjudication system
- Communicates problems and concerns to the manager
- Clinical Care Support
- Complete new/renewal Prior Authorization requests for specialty & non-specialty drugs
- Reach out to members to assist in a change of Rx to a more cost-effective generic alternative
- Assist members needing copay assistance for brand medications
- Create/mail Brand Care letters
- Account Support
- QA testing for client transitions/changes
- Complete the pharmacy contact sheet for fax notifications
- Performs other duties as assigned
Requirements
* Customer service experience
- Knowledge of claims processing helpful
- Analytical thinking and attention to detail
- Excellent communication and customer relations skills
- Problem-solving skills
- Ability to multi-task and prioritize in an ever-changing environment
- Strong computer skills including Microsoft Office (Excel, Word, PowerPoint, Outlook)
- High School Diploma and/or college degree in a related field preferred
- Pharmacy technician experience preferred, not required
- * To be considered for this role, applicants must reside in Pacific time zone.
Why Join arenaflex?
* Be part of a dynamic and growing company that values its employees and provides opportunities for career growth and development
- Enjoy a range of benefits, including robust benefits and a strong salary, ESOP - Team Member Owned, Employee Assistance Program, Wellness Program, Dream Manager Program, and more
- Work in a positive and cohesive culture that values Integrity, Respect, Innovation, and Service
- Have the opportunity to make a real difference in the lives of our clients and their members
How to Apply
If you're a motivated and talented individual who is passionate about providing exceptional service to our clients and their members, we encourage you to apply for this exciting opportunity. Please visit our website to learn more about arenaflex and to submit your application. Apply Now! Apply for this job