Job Description
Company Overview
Our client is a leading group in the provision of mental health services in Puerto Rico, providing services in practices in the health industry, such as telemedicine and home services.
Job Summary
The Pharmacy Call Center Representative manages telephone calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits, authorization requests, and drug use reviews, among others, to ensure that claims are correctly and timely adjudicated.
Responsibilities
- Answers and manages telephone calls from pharmacies and providers in a timely, confidential, and courteous manner.
- Documents calls and/or drug requests with complete follow-up history of the patient through electronic records.
- Provides orientation to pharmacies regarding phar...