Pharmacy Benefits Specialist

Medix Healthcare

Phoenix, AZ 85004

Training (first 1-2 months) will be M-F 7am-4pm

Post training they will be assigned a shift that will fall between 5am-6pm (it is an 8 hour shift + 1 hour lunch).  They will have a set schedule, but it will be determined during training based on business needs

Rotating Sat (right now working about 1 Sat a month, 8am-12pm) it’s OT when they work 

Hybrid Work Model Details:

During training (first 1-2 months) they will be working onsite Mon-Thurs and remotely on Fridays

After training they will be remote Mon/Fri and onsite Tues-Thurs

Pay: $21.15 - 23.50/hour

Job Details 

Hourly 

Job Type

Full Time

Qualifications 

• High school diploma or GED
• 2+ years Pharmacy or PBM call center experience 
• Knowledge of medical/pharmaceutical terminology

Essential Duties and Responsibilities:

As a Pharmacy Benefits Specialist you will…

• Working in call center (95% inbound calls, 5% outbound calls)
• About 30-50 calls/day, average call handle time is 6.5 minutes 
• Calls will be from pharmacies, clients, members, other insurance providers 
• Calling to get missing information, prescription updates 
• Lots of people call about their pharmacy coupon cards 
• Determine pharmacy eligibility by reviewing, researching, and analyzing information in the appropriate system
• Maintain and enter member/prescription information into systems as information is received and forward records to the appropriate parties when applicable.
• Record and respond to calls/emails/faxes from Member, Providers, and Pharmacies.
• Maintain a high level of knowledge to answer specific Pharmacy Plan Benefit information or sharing guideline related questions.
• Provide exceptional customer service for incoming/outgoing calls.
• Provide timely and thorough responses to internal and external customers.
• Maintain HIPAA/PHI guidelines to ensure the confidentiality of all calls and documents.
• Escalate difficult issues to the appropriate party.
• Use critical thinking and reasoning to resolve conflicts and manage workloads efficiently.

Work Environment: This position is going to be HYBRID.

Job Type: Full-Time

#MedixWest