Partners in Transformation
Pharmacy Customer Service Representative
Location
Florida + 6 moreAll locations: Florida | New Jersey | North Carolina | Maryland | Pennsylvania | South Carolina | Texas
Posted
5 days ago
Salary
$19 - $20 / hour
Seniority
Senior
Job Description
Pharmacy Customer Service Representative
TEKsystems
• This role supports Medicare members, providers, pharmacies, brokers, and internal teams with prescription drug coverage and pharmacy benefit questions. • Respond to inbound calls and inquiries related to Medicare pharmacy benefits, prescription coverage, pharmacy claims, and plan information. • Assist members, providers, brokers, internal teams, and other stakeholders with pharmacy-related questions and issue resolution. • Research and resolve inquiries using internal systems, routing queues, vendor applications, plan documents, and knowledge resources. • Review and interpret pharmacy benefit information, policies, procedures, and plan requirements to provide accurate guidance. • Document all interactions thoroughly and accurately in accordance with compliance and procedural standards. • Escalate complex issues when needed and coordinate with internal teams or vendor contacts to support resolution. • Maintain compliance with HIPAA, Medicare, organizational, and regulatory requirements. • Meet quality, productivity, and customer experience expectations in a structured, monitored environment. • Participate in training and coaching to maintain current knowledge of pharmacy benefits, Medicare programs, and internal processes.
Job Requirements
- High School Diploma or GED required.
- Prior customer service or call center experience required.
- Strong verbal and written communication skills.
- Ability to explain detailed or complex information clearly and professionally.
- Strong attention to detail and accuracy.
- Comfortable navigating multiple systems while assisting callers.
- Ability to work independently and as part of a team.
- Reliable attendance and ability to work in a structured, performance-driven environment.
- Pharmacy technician experience strongly preferred.
- Medicare, Medicare Part D, pharmacy benefits, PBM, or prescription coverage experience preferred.
- Experience in healthcare, insurance, benefits, prior authorization, claims, or member services.
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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