Current Openings

Clinical Call Center Representative

Dallas, TX 75014

Posted: 02/11/2021 Employment Type: Contract Industry: Customer Service Representative Job Number: 15461 Branch: Dallas Office

Job Description


Hire Up is seeking a Pharmacy Help Desk Call Center Representative for an innovative Health Care Company in the Dallas area. This is a Contract role 

$17-20/hr based off experience
Must have a flexible schedule - STARTS REMOTE 
Bilingual is required (spanish/english) 

ESSENTIAL  ROLE  AND RESPONSIBILITIES

  • Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance.
  • Answer incoming providers’ and beneficiaries’ calls following Call Center scripts, in a timely matter and in accordance with call center performance metrics.
  • Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards.
  • Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions.
  • Document all inquiries in the Customer Service Management Applications.
  • Route the case to the corresponding internal department or the appropriate Health Insurance Carrier.
  • Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment.
  • Constantly monitors the  Alert Application to ensure proper management of rejections at point of sale.
  • Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business.
  • Identify system issues and route to the corresponding internal department.
  • Make outbound calls to pharmacies, providers and beneficiaries if necessary
  •  
TRAINING & EDUCATION
  • Pharmacy Technician Technical or Associate Degree, preferred.

LICENSURE / CERTIFICATION
  • ExCPT, CPhT or PTCB certification.

PROFESSIONAL EXPERIENCE
  • 1 - 2-year customer service or call center experience and healthcare environment.


Please apply on  https://www.hireupss.com/  or send your resume to 
gsalcido@hireupss.com

Additional Information

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We look forward to helping you!

Meet Your Recruiter

Gil Salcido
Territory Director

You know the outgoing person in the room who has the infectious laugh, always wears a smile, and loves a good chat, well...that's me! I aim to be a solution whether it be a staffing need for a tomorrow start or a hard to hire area. It may be possible that you're in the job market looking for a new role. My passion is people. I want to learn what drives you, your passions, and your personal career goals. If you feel you meet the qualifications listed in a job ad or would like to chat about your career plan, feel free to schedule a time to meet!

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