Customer Service Representative, Pharmacy

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
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Position Overview:
Are you a dynamic communicator who thrives in a fast paced environment?

Join our team as a Pharmacy Customer Services Representative and be a part of an exciting journey in delivering exceptional customer service experiences. This position is full-time and requires open availability 7:30am-5:30pm, Monday – Friday.

Please fill out an application on our company page, linked below, to be considered for this position: https://j.brt.mv/jb.do?reqGK=27714047&refresh=true

Primary Functions:

Handle a high volume of incoming calls from members, agents, providers, hospitals, pharmacists, Pharmacy Benefit Managers and Mail Order carriers regarding pharmacy benefits or other issues with professionalism and empathy.
Provide customer service to members of multiple benefit plans by analyzing the caller’s needs and by providing timely and accurate responses.
Conduct thorough research to ensure accurate responses to complex customer queries.
Work in a fast-paced environment, adapting to changing customer needs and maintaining a positive attitude all while keeping confidentiality of information for all members by adhering to Moda privacy policies and HIPAA laws and guidelines.
Exercising good judgment, initiative, and discretion in confidential and sensitive matter.
Contacts physicians, pharmacies and Pharmacy Benefit Managers when necessary to answer questions and obtain or provide information
Collaborate with a team of dedicated professionals and follow the guidance of experienced leadership.
Provide accurate information in a professional manner using current technology and software to document calls from members, providers and other customers in a clear and concise manner.
Opportunities for professional growth and career advancement.
Comprehensive training program to equip you with the skills needed for success.
Supportive and collaborative team environment.

Basic Qualifications:

Required Work Experience
One year medical insurance, or other healthcare related field.
One year call center or customer service.

Education:
High School Diploma or equivalent
Proficient computer skills (Type a minimum of 25 wpm & 10-key)
Must be proficient with Microsoft Office applications and able to learn other systems as they pertain to the position

Preferred Qualifications:
Medical terminology knowledge
Previous pharmacy experience or knowledge
Excellent verbal and written communication skills and ability to interact professionally, patiently, and courteously with customers over the phone
Good analytical, problem solving and decision-making skills
Ability to work well under pressure with frequent interruptions and shifting priorities
Ability to come to work on time and be ready to work at the time of assigned shift
Ability to handle difficult, angry calls and benefit issues with little assistance

Benefits:
Medical, Dental, Vision, Pharmacy, Life & Disability
401K- Matching
FSA
Employee Assistance Program
PTO and Company Paid Holidays
Pay Range: $18.00 Hourly to $19.79 Hourly
Starting pay: $18.00 per hour
401(k) matching
Dental insurance
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid training
Tuition reimbursement
Vision insurance
Work from home
This position starts on November 6th 2023

Are you ready to be a betterist?

If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
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For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our [email protected] email.

Pay Range
$18.00 Hourly to $19.79 Hourly