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TEKsystems

Partners in Transformation

Pharmacy Customer Service Representative

Customer SupportCustomer SupportContractRemoteSeniorTeam 10,001+Since 1983Company SiteLinkedIn

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

High School3 yrs expEnglish

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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