Prescription Drug Benefits Coordinator #36453
Office Call Center
Wayne, PA Contract To Hire May 23, 2024
Contemporary Staffing Solutions is seeking a Prescription Drug Benefits Coordinator to join our client for a remote opportunity (must be in CST or EST time zone)! The Prescription Drug Benefits Coordinator is responsible for providing swift and accurate assistance to members and partners with their pharmacy benefit inquiries and issues. This role involves addressing general customer questions, prescription claim issues, pharmacy data reporting, and resolving adjudication problems. This Contract-to-Hire opportunity offers $22-$24/Hour!

Duties and Responsibilities:
  • Address urgent eligibility, claims, and accumulator concerns related to pharmacy benefits.
  • Resolve Help Desk tickets and Change Control tasks for Rx services.
  • Coordinate pharmacy benefit changes with clients, internal teams, and external stakeholders.
  • Communicate benefit changes and terminations to the PBM.
  • Verify copay assistance utilization and provide pharmacy reports as requested.
  • Audit and approve PBM setup documents and client ID cards for accuracy.
  • Participate in Change Control Ticket and Client Incident calls.
  • Update internal stakeholders on the status of requests, issues, and projects.
  • Ensure accuracy in plan setup and modifications.
  • Coordinate with IT teams to resolve pharmacy file transmission issues.
  • Escalate complex issues appropriately.
  • Demonstrate duties and procedures to colleagues.
  • Collaborate cross-departmentally to improve procedures and enhance internal processes.
  • Identify and report trends that fall outside quality parameters.
  • Perform self-quality monitoring and provide feedback to optimize performance.
  • Follow additional instructions and perform other duties as requested by the supervisor.

Education and Experience:
  • Associate’s degree or equivalent experience
  • Two years of experience in a pharmacy or medical setting
  • Capability to work remotely
  • Proficient mathematical, 10-key, and typing skills
  • Proficient in Microsoft Office products and other relevant software
  • Strong organizational, problem-solving, and analytical skills with attention to detail
  • Ability to maintain neutrality and confidentiality
  • Excellent written and oral communication skills
  • Ability to work independently, prioritize workloads, multitask, and manage priorities to meet deadlines

Contemporary Staffing Solutions (CSS) has been a leading provider of contract, temporary, temporary-hire & direct hire solutions. We began as a staffing agency and evolved to a national provider of workforce management solutions with a niche recruitment focus in Accounting & Finance, Call Center & Office, Human Resources, Sales & Marketing, & Information Technology. To learn more about CSS, visit our website: www.ContemporaryStaffing.com.