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Última actualización: hace 2 días
Pharmacy Help Desk Call Center Representative

Pharmacy Help Desk Call Center Representative

Pharmpix00968, PR, US
The Pharmacy Help Desk Call Center Representative reports to the Pharmacy Help Desk Call Center Supervisor and is responsible to provide a customer service by telephone of incoming and outbound cal...Mostrar másÚltima actualización: hace 2 días
Sandwich Artist Job at Subway - 19324-0 in 00920

Sandwich Artist Job at Subway - 19324-0 in 00920

Subway - 19324-000920, PR, United States
As part of the Subway® Team, you as a Sandwich Artist ® will focus on four main things : .Providing an excellent Guest experience. Preparing and serving great food .Keeping restaurants clean and beaut...Mostrar másÚltima actualización: hace 26 días
SECRETARIA / O

SECRETARIA / O

ExecutiveHome Search and Realty Services Inc00920, PR, US
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Medical Assistant

Medical Assistant

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Asesor de Servicio

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Senior Structural Engineer

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Store Manager - San Patricio

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HANDYMAN

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Oficial de Cuentas por Pagar (Cataño)

Oficial de Cuentas por Pagar (Cataño)

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Sandwich Artist

Sandwich Artist

Subway - 38483-000969, PR, US
As part of the Subway® Team, you as a Sandwich Artist ® will focus on four main things : .Providing an excellent Guest experience. Preparing and serving great food .Keeping restaurants cl...Mostrar másÚltima actualización: hace más de 30 días
Data Analyst

Data Analyst

DJS FINANCIAL SERVICES LLC00968, PR, US
We are looking for a highly motivated and detail-oriented Data Analyst to join our team and support our client's Financial Management (Caribbean) Division. Analyzes all data imaging assignments,...Mostrar másÚltima actualización: hace 21 días
Sandwich Artist

Sandwich Artist

Subway - 58503-000922, PR, US
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Sandwich Artist

Sandwich Artist

Subway - 42252-000922, PR, US
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SALES EXECUTIVE / EJECUTIVO DE VENTAS

SALES EXECUTIVE / EJECUTIVO DE VENTAS

AutoGrupo00920, PR, US
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Telephone Representative I

Telephone Representative I

TAS United00968, PR, US
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Ingeniero(a) de Proyectos en Telecomunicaciones

Ingeniero(a) de Proyectos en Telecomunicaciones

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Esta posicin es responsable de asistir al Gerente de Proyectos en la coordinacin y control de las actividades de construccin en los proyectos de. Supervisa directamente las labores en el rea de trab...Mostrar másÚltima actualización: hace 10 días
Sandwich Artist Job at Subway - 33116-0 in 00968

Sandwich Artist Job at Subway - 33116-0 in 00968

Subway - 33116-000968, PR, United States
As part of the Subway® Team, you as a Sandwich Artist ® will focus on four main things : .Providing an excellent Guest experience. Preparing and serving great food .Keeping restaurants clean and beaut...Mostrar másÚltima actualización: hace más de 30 días
Customs and Border Protection Officer - Experienced

Customs and Border Protection Officer - Experienced

Customs and Border ProtectionCatano, Puerto Rico, US
Customs and Border Protection Officer (CBPO) U.Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of hi...Mostrar másÚltima actualización: hace 3 días
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Pharmacy Help Desk Call Center Representative

Pharmacy Help Desk Call Center Representative

Pharmpix00968, PR, US
Hace 2 días
Descripción del trabajo

Job Description

Job Description

POSITION SUMMARY

The Pharmacy Help Desk Call Center Representative reports to the Pharmacy Help Desk Call Center Supervisor and is responsible to provide a customer service by telephone of incoming and outbound calls to providers, beneficiaries and pharmacies.

ESSENTIALS ROLES AND RESPONSIBILITIES

1. Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance with PharmPix Pharmacy Help Desk Call Center performance metrics.

2. Answer incoming providers’ and beneficiaries’ calls following Call Center scripts, in a timely matter and in accordance with PharmPix call center performance metrics.

3. Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards.

4. Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions.

5. Document all inquiries in the Customer Service Management Applications such as, Service Desk, OneArk and email.

6. Route the case to the corresponding internal department or the appropriate Health Insurance Carrier.

7. Guide pharmacies, providers and beneficiaries regarding the process of claim

transmission, reimbursement and payment.

8. Constantly monitors the BACMAN Alert Application to ensure proper management of rejections at point of sale.

9. Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business.

10. Identify system issues and route to the corresponding internal department.

11. Make outbound calls to pharmacies, providers and beneficiaries if necessary.

12. Support all Quality Management Program initiatives.

13. Perform Special projects and / or other duties assigned by the Operations Manager and or Pharmacy Help Desk Call Center Supervisor.

TRAINING & EDUCATION

Pharmacy Technician, Technical or Associate Degree

LICENSURE / CERTIFICATION

Puerto Rico Board of Pharmacy Technician Registry Certificate (CPhT), or prospect.

PROFESSIONAL EXPERIENCE

1 - 2-year customer service or call center experience and healthcare environment (Preferable).

PROFESSIONAL COMPETENCIES

Knowledge :

  • Fully Bilingual (Spanish / English written and verbal).
  • PC skills (Microsoft System) / System oriented.

Skills :

  • Strong customer service skills.
  • Excellent phone, written, active listening and follow-through skills.
  • Skill in analyzing situations accurately and taking effective action.
  • Attention to details.
  • Time Management Skills : Establishing priorities and accomplishing tasks in a timely manner.
  • Ability to work with others to reach a solution.
  • Be able to toggle between several software programs.
  • Demonstrated effective organizational skills.

    • Abilities :

  • Able to effectively interact with internal departments, PharmPix clients, members and other healthcare professionals.
  • Ability to work with others to reach a solution.
  • Be able to toggle between several software programs.
  • Ability to work in a fast-paced environment and multitask.

    • PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans