Pharmacy Resolution SpecialistVirtualVocations • Louisville, Kentucky, United States

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Pharmacy Resolution Specialist

VirtualVocations • Louisville, Kentucky, United States

[job_card.30_days_ago]

[job_preview.job_type]

[job_card.full_time]

[job_card.job_description]

A company is looking for a Pharmacy Resolution Specialist who will handle inquiries and resolve issues related to pharmacy benefits.

Key Responsibilities

Responds to calls from members, providers, and pharmacies regarding benefit questions and prior authorization requests

Researches and resolves issues while logging and tracking all inquiries to meet performance standards

Maintains knowledge of pharmacy benefits and regulations, and assists with special projects as assigned

Required Qualifications

High School Diploma or GED

Minimum of 1 year of experience in a call center or customer service role

Knowledge of pharmacy and medical benefits

Ability to interpret CMS regulations related to pharmacy benefits

Experience with prior authorization processes and claims resolution

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Resolution Specialist • Louisville, Kentucky, United States

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