phil - Clinical Support Specialist Tier 1
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Requirements
• Active Board of Pharmacy license in the State of Residency. • Active Pharmacy Technician Certification Board (PTCB) certification • Minimum 2 years of pharmacy technician experience and use of proprietary software to process prescriptions • Strong understanding of pharmacy claims processes and coverage workflows • Skilled in managing multiple digital platforms and navigating cross-system tasks • Clear and professional verbal and written communication skills • Ability to provide excellent customer service via inbound communication (calls and emails) • Willingness and ability to learn operational workflows to quickly determine root cause • Collaborative mindset with willingness to take guidance and feedback
Responsibilities
• Respond to inbound inquiries from providers, medical office staff, and payers by phone, email, and internal messaging • Support providers with real-time order status updates, prescription processing steps, and plan-specific requirements • Triage escalations and resolve urgent or complex order-level issues efficiently • Clearly communicate program requirements, expected copays, and processing timelines • Coordinate with internal partners and external pharmacy networks to remove order bottlenecks • Guide provider teams through billing issues, prior authorizations, tier exceptions, and appeals • Use professionalism, de-escalation and active listening skills to manage provider frustrations and keep communication productive • Log updates across internal systems accurately and on time • Identify common workflow issues and share insights to improve team processes • Superb written documentation of services provided in all cross-functional systems
Benefits
• $26 – $28 per hour • Upload your resume here to autofill key application fields. • Drop your resume here! • Parsing your resume. Autofilling key fields... • or drag and drop here • I prefer not to answer • Another Gender Identity • Heterosexual / straight • Asian or Asian American • Black or African American • Hispanic or Latine • Indigenous or Native American • Native Hawaiian or Other Pacific Islander • Person with disability • Refugee or immigrant • None of the above • Decline to self-identify • Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. • Hispanic or Latino • White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. • White • Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa. • Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. • Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. • Asian • American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. • American Indian or Alaska Native • Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races. • Two or More Races • Hispanic or Latino • White (Not Hispanic or Latino) • Black or African American (Not Hispanic or Latino) • Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) • Asian (Not Hispanic or Latino) • American Indian or Alaska Native (Not Hispanic or Latino) • Two or More Races (Not Hispanic or Latino) • I identify as one or more of the classifications of protected veteran listed above • I am not a protected veteran
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