Posted:
1/8/2025, 9:45:22 AM
Location(s):
England, United Kingdom ⋅ Swindon, England, United Kingdom
Experience Level(s):
Senior
Field(s):
Customer Success & Support
Workplace Type:
Remote
If you’re looking for a meaningful career, you’ll find it here at Webster. Founded in 1935, our focus has always been to put people first--doing whatever we can to help individuals, families, businesses and our colleagues achieve their financial goals. As a leading commercial bank, we remain passionate about serving our clients and supporting our communities. Integrity, Collaboration, Accountability, Agility, Respect, Excellence are Webster’s values, these set us apart as a bank and as an employer.
Come join our team where you can expand your career potential, benefit from our robust development opportunities, and enjoy meaningful work!
Schedule:
M-F (shift within 8am-8pm EST), with the ability to work some weekends/holidays
The Opportunity:
We are seeking a Rx Specialist to primarily provide support to the Authorizations team within the Member Services Department. The ideal candidate will be comfortable and familiar with prescription terminology and authorization practices. Our company is extremely passionate and dedicated to providing superior service. If you thrive in a fast-paced innovative environment that emphasizes individual accountability with the support of a team structure, come join us!
Your Day-to-Day:
Monitor and resolve all pharmacy rejected claims within the established turnaround times and in compliance with Medicare and regulatory requirements.
Follow-up on authorization requests in a timely fashion.
Contact members to obtain necessary approval on rejected pharmacy claims.
Contact PBM as needed to resolve any complex pharmacy issues.
Document all communication, upload appropriate documents to internal database, and document clear concise notes in our database to ensure accounts are up-to-date.
Proactively identify issues, and work towards a fast resolution.
Act in compliance with security and HIPAA policies and procedures.
Other duties as assigned.
Requirements
What you bring to the team:
Nationally Certified Pharmacy Technician & State Licensed Pharmacy Technician
2+ years’ experience in a call center and/or pharmacy setting
Thorough understanding & proficient use of customer service best practices and techniques in the Pharmacy Benefit industry.
Working knowledge of healthcare information systems and knowledge of Rx products and pharmacy services.
Ability to problem solve and handle customer conflicts effectively.
Strong interpersonal and communication skills.
The estimated salary range for this position is $23.00 to $25.00 per hour. Actual salary may vary up or down depending on job-related factors which may include knowledge, skills, experience, and location. In addition, this position is eligible for incentive compensation.
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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Website: https://websteronline.com/
Headquarter Location: Waterbury, Connecticut, United States
Employee Count: 1001-5000
Year Founded: 1935
Industries: Banking