Job Description

Responsibilities:

Handle incoming calls from pharmacies and providers in a professional, confidential, and timely manner.
Register and update patient and request information in electronic systems with accuracy.
Guide pharmacies on benefit coverage, claim submissions, and authorization processes.
Perform system adjustments and overrides to ensure proper claim resolution.
Support pharmacies with claim-related issues and processing questions.
Assist with onboarding or guidance for pharmacy representatives.
Follow CMS and applicable regulatory standards in all assigned duties.
Complete additional operational tasks as assigned by leadership.

Requirements:

Pharmacy Technician Associate Degree from an accredited school.
Active and unrestricted Pharmacy Technician License in Puerto Rico.
Minimum of one (1) years’ experience in retail pharmacy, preferred.
Basic understanding of pharmacotherapy concepts for accurate case evaluation.
Intermediate proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
Strong verbal and written communication skills.
Ability to analyze situations, identify solutions, and work with minimal supervision.
High level of organization, time management, and attention to detail.
Available to work rotating schedules 7 days a week between 7:00am and 11:00pm.

Equal Employment Opportunity Employer.

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