Shire Jobs

Adecco is recruiting Pharmacy Benefit Call Center Reps for an onsite opening in Cary, North Carolina. This is an opportunity to work for one of the leading distributors of oncology and specialty medications.

Requirements:

· High School Diploma/GED

· Must have 1 to 3 years of Pharmacy /Healthcare Benefits Call Center/Customer Service experience.

· Experience with prior authorizations and prescription refills is a big plus!

Schedule: Monday - Friday

Pay Rate: The wage for this position is $20.40 to $22. Hourly wage may depend upon experience, education, geographic location and other factors.

Job Description:

· Answer a high volume of inbound calls from members regarding their prescription benefits -such as general prescription status, verifying eligibility, Prescription refills, prior authorizations, or financial information.

· Contact patients to schedule medication delivery and payment.

· Adjudicate claims and troubleshoot rejections.

· Handle inbound and outbound calls to schedule medication delivery and payment so that accurate information is included in their profile and distribution can successfully send their package in a timely manner.

· Directly responds to customer inquiries when appropriate or routes calls to the appropriate staff to ensure prompt resolution/customer satisfaction.

· Update concise progress notes to ensure other roles within the workflow are able to quickly assess the status of the referral.

· Provides customer service through manipulation of management information system to answer questions regarding refill needs, providing status of pending/shipped prescriptions, verify insurance information and provide copies of invoices upon request.

· Answer patient questions and concerns during refill scheduling and transfer to the clinical team (pharmacists and nurses) when appropriate.

· Identify and report adverse events (AEs) and product complaints (PCs) to clinicians to ensure patient’s safety.

· Perform other duties as assigned (above tasks may vary slightly depending on the specific team/program requirements.)

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $20.40 to $22.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance