Pharmacy Customer Service Representative

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🔥 4 minutes ago

🐊 Florida, New Jersey, +5 more states – Remote

🐊 Florida – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote

💵 $19 - $20 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

💝 Customer Support

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TEKsystems

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1983

💼 Consulting

🎯 Recruiter

🏢 Enterprise

Consulting • Recruitment • Enterprise

TEKsystems is a global IT and business services firm that provides technology consulting, talent solutions, managed services and workforce recruitment to enterprise clients. The company delivers cloud, digital and data services (including AI/ML and automation), application innovation, Agile/DevOps transformation, technology operations and digital experience work, and operates large-scale talent and managed service programs. TEKsystems works across industries (financial services, healthcare, public sector, telecommunications, retail/manufacturing, energy and more), maintains technology partnerships with major cloud and software providers, and reports more than $7B in annual revenue and 100+ locations worldwide.

📋 Description

• 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.

🎯 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)