Pharmacy Services Specialist 2 (9287)) in Irvine, CA at Volt

Date Posted: 9/26/2019

Job Snapshot

  • Employee Type:
    Contingent
  • Location:
    Irvine, CA
  • Job Type:
  • Duration:
    24 weeks
  • Date Posted:
    9/26/2019
  • Job ID:
    196774
  • Pay Rate
    $16.0 - $17.0/Hour
  • Contact Name
    Volt Branch

Job Description

The Pharmacy Solutions division provides critical Pharmacy Benefit Management solutions to hundreds of workers’ compensation and auto insurance carriers, administrators and employers in the United States, as well as connects with over 65,000 pharmacies to provide injured patients with access to prescription medicines. Our mission is to provide our customers with better claim outcomes and help patients restore their lives after a workplace or automobile accident.  The Irvine office works directly with pharmacies and payers to process over 1 million pharmacy transactions each year. Our Pharmacy Service Specialists assist pharmacies, patients and insurance companies in prescription processing in accordance with established policies.  Responsibilities include but are not limited to the following:

This is a temporary position covering a leave, but there may be opportunity here for someone who is a great fit.

  • Answer incoming calls to assist customers with a variety of inquiries
  • Place calls to gather data to resolve pharmacy claim and coverage inquiries
  • Obtain authorization from insurance companies to process new transactions
  • Partner with Claims Adjusters to determine claim eligibility and claim status
  • Enter and maintain accurate records in our information system
  • Respond to customer requests regarding service, products, and account information
  • Analyze and rectify customer concerns using established procedures

Qualifications

  • Minimum 2-4 years of related experience is required
  • Basic computer and keyboarding skills are required; Microsoft Office Suite a plus
  • Excellent interpersonal communication skills, including good grammar and diction
  • Maintain a positive and professional demeanor during all business interactions
  • Ability to quickly and accurately organize and manage multiple priorities
  • Ability to read and interpret documents such as operational guides/procedure manuals
  • Make sound decisions with an ability to learn quickly
  • Understanding of medical terminology is desired
  • Ability to sit for long periods of time (up to 8 hrs per day)

Licenses or Certifications:  Pharmacy Technician License a plus

Written Abilities:  Proficient Grammar, sentence structure and written communication skills are required

Education: Minimum High School Diploma or GED.  Some experience in the health care field is a plus

Volt is EOE