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Empleos en San juan metro pr

Última actualización: hace 5 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 5 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 29 días
Medical Assistant

Medical Assistant

DOCS Health00920, PR, US
Attention all Medical Assistants we are calling on you to partner with us to provide services to our Military Service members. We will primarily work weekends, with some occasional weekdays in the S...Mostrar másÚltima actualización: hace más de 30 días
TRABAJADOR / A SOCIAL

TRABAJADOR / A SOCIAL

Executive Homesearch and Realty Services Inc00920, PR, US
Preparar un expediente social de cada residente.Coordinar actividades recreativas, educativas y servicios con diferentes agencias o programas. Ofrecer charlas de orientación a los residentes ...Mostrar másÚltima actualización: hace 13 días
SECRETARIA / O

SECRETARIA / O

ExecutiveHome Search and Realty Services Inc00920, PR, US
Procesar correspondencia general e informes.Mantener los documentos de los residentes y las solicitudes de servicios de mantenimiento archivadas. Cobrar rentas y preparar los depósitos diario...Mostrar másÚltima actualización: hace más de 30 días
Especialista de Tecnologia Jr.

Especialista de Tecnologia Jr.

Insight Communications00920, PR, US
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Mecanico de Taller

Mecanico de Taller

Genera PR LLC00969, PR, US
Genera PR es una empresa creada para operar las plantas generatrices del gobierno de Puerto Rico.Creemos en brindar soluciones energéticas más confiables y costo efectivas que ayudar&...Mostrar másÚltima actualización: hace 9 días
Senior Structural Engineer

Senior Structural Engineer

O&M Consulting Engineering00968, PR
O&M Consulting Engineering, PSC, offers integrated engineering services for both public and private sector clients.O&M offers challenging opportunities in an environment where every team me...Mostrar másÚltima actualización: hace 12 días
Store Manager - San Patricio

Store Manager - San Patricio

Starbucks PR00968, PR, US
Esperamos aprender tanto de ti, como tú de nosotros.Brindamos a las personas realistas y honestas la oportunidad de crecer personal y profesionalmente. Juntos trabajamos para crear un mejor d...Mostrar másÚltima actualización: hace más de 30 días
Oficial de Cuentas por Pagar (Cataño)

Oficial de Cuentas por Pagar (Cataño)

Firma de Reclutamiento en PRCataño, Puerto Rico, USA
Experiencia mínima de un (1) año en cuentas por pagar o área contable similar.Dominio de Microsoft Office (Excel, Word.Conocimiento de sistemas contables. Atención al detalle, puntualidad y habilida...Mostrar másÚltima actualización: hace más de 30 días
Administrative Assistant

Administrative Assistant

Smart Precise Solutions, Inc.00969, PR, US
Provide high-level administrative support to executives by managing schedules, preparing reports, coordinating meetings, and handling communication efficiently. This role requires discretion, attent...Mostrar másÚltima actualización: hace 11 días
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 24 días
Asistente de Rampa

Asistente de Rampa

F40 LLC00920, PR, US
En el Departamento de Servicio primordialmente fungirá como primer punto de contacto con los clientes en la rampa de servicio. Asistirá a los Asesores de Servicio y Ventas, así ...Mostrar másÚltima actualización: hace más de 30 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
Ingeniero(a) de Proyectos en Telecomunicaciones

Ingeniero(a) de Proyectos en Telecomunicaciones

Bermudez Longo Diaz-Masso LLC00968, PR, US
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 13 días
Telephone Representative I

Telephone Representative I

TAS United00968, PR, US
Agents are responsible for providing excellent service to our commercial, medical, and dedicated account customers.SPECIFIC AREAS OF RESPONSIBILITY TO POSITION. Answer inbound customer service calls...Mostrar másÚltima actualización: hace 12 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 6 días
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Pharmacy Help Desk Call Center Representative

Pharmacy Help Desk Call Center Representative

Pharmpix00968, PR, US
Hace 5 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