About this role

📋 Description Handle calls, emails, faxes, and web requests from pharmacies, beneficiaries, and prescribers. Use Rx Platform and resources to resolve caller needs. Meet CMS/client service levels; 80% calls in service level; less than 5% abandon; response under 30 seconds. Provide Coverage Determination status, including exceptions and appeals. Document PA requests and inquiries per policies. Answer questions on payments, eligibility, and provider portal support.

🎯 Requirements Pharmacy Technician Associate Degree preferred; degree not required. 1+ years in a Pharmacy or Member Services Call Center. Excellent oral and written English communication. Hybrid work model with on-site days (Puerto Rico). Ability to work in the specified time zone. On-call evenings, weekends, holidays as needed. 🎁 Benefits Diversity, equity, inclusion, and belonging are guiding principles. Abarca Health is an equal employment opportunity employer and participates in E-Verify.

Source listing: empllo_remote