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PHARMACY BENEFITS SPECIALIST (CUSTOMER SERVICE)
$35k-44k (estimate)
Full Time | Ambulatory Healthcare Services 2 Weeks Ago
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Intermountain Health is Hiring a PHARMACY BENEFITS SPECIALIST (CUSTOMER SERVICE) Near Murray, UT

Job Description:The Pharmacy Benefits Specialist (Customer Service) is responsible for the day-to-day operations of SelectHealth’s prescription coverage. This position provides superior customer service in response to all inquiries and questions for members, providers, employer groups, facilities, other departments and teams. Our training for this position includes learning how to provide excellent customer service, maintain confidentiality, navigate provided resources, and act as an insurance coach.
SelectHealth has been named one of the “Best Companies to Work For” by Utah Business magazine for seven years in a row.
Job DescriptionThe Pharmacy Benefits Specialist (Customer Service) is responsible for the day-to-day operations of SelectHealth’s prescription coverage. This position provides superior customer service in response to all inquiries and questions for members, providers, employer groups, facilities, other departments and teams. Our training for this position includes learning how to provide excellent customer service, maintain confidentiality, navigate provided resources, and act as an insurance coach.
CompensationIn addition to a competitive wage, this position offers:
  • Hourly wage pay increase for successful completion of Spanish Speaking Certification
  • Monthly Superior Service Incentive
  • Referral bonus
  • Shift differential
  • Employee Wellness Program Incentive
Additional Benefits
  • Initial new hire training
  • Ongoing development/career progression
  • Flexwork opportunities (work from home/in office)
  • Health and Dental Benefits Eligible
  • 401(k) Retirement Savings (with employer match)
  • Paid Time Off
  • Tuition Reimbursement
  • PEAK Education Assistance
  • Onsite gym access
  • Employee Assistance Program (EAP)
Job Essentials
  • Incoming/outgoing calls from members, providers, employer groups, brokers, and internal departments
  • Computer competency and proficiency in Microsoft Office Suite
  • Provides superior customer service that is consistent with policies, company values, and quality standards
  • Maintains the confidentiality of member's personal information to be compliant with HIPAA and internal policy
  • Maintains customer history in member tracking tool using correct and accurate notation
  • Assists members with grievances and appeals process
  • Required to meet all department standards pertaining to call statistics, production, documentation, quality, and accuracy
Meets department standards for exceptions, overrides, and preauthorizations
Minimum QualificationsOne year combined experience in any of the following: medical/pharmacy claims processing; health benefit coordination; customer service experience; pharmacy tecnician experience.
- and -
Experience utilizing word processing software.
Preferred Qualifications
  • Pharmacy Technician Certification
Additional Job RequirementsInteract with others requiring the employee to communicate information
- and -
Operate computers and other office equipment requiring the ability to move fingers and hands
- and -
See and read computer monitors and documents
- and -
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment
Physical Requirements:Manual dexterity, hearing, seeing, speaking.
Anticipated job posting close date:06/09/2024
Location:SelectHealth - Murray
Work City:Murray
Work State:Utah
Scheduled Weekly Hours:40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.53 - $29.76
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$35k-44k (estimate)

POST DATE

06/08/2024

EXPIRATION DATE

07/04/2024

WEBSITE

www.ihgltd.com

HEADQUARTERS

Kingston, Pennsylvania

SIZE

200 - 500

CEO

Jon Sweet

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

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