Source Job

US

  • Act as the primary point of contact for incoming member calls and prior authorization inquiries.
  • Accurately advise callers on options for exception requests based on client benefit elections.
  • Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies.

Customer Service Pharmacy Prior Authorization Call Center Communication

16 jobs similar to New Customer Care Pharmacy Technician (Full-Time) Remote

Jobs ranked by similarity.

US

  • Efficiently triage incoming phone calls with professional phone etiquette.
  • Provide support for call center staff and resolve issues promptly.
  • Effectively communicate issues and solutions to members and pharmacies.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

$20–$22/hr
US

  • Answer inbound calls and return voicemails from members, delivering exemplary customer service and support.
  • Troubleshoot and resolve prescription-related issues for members whose plans utilize CVS or Carelon as the PBM.
  • Coordinate with providers’ offices and retail/mail-order pharmacies as needed to resolve claims processing, prior authorization, and medication access issues.

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. They focus on cost containment strategies and driving down the cost of plans with innovative solutions. Point C provides equal opportunity in all employment practices.

US

  • Initiate communication to communities regarding expensive and non-formulary medication orders.
  • Keep detailed records of all orders that require communication to the community.
  • Review Medicare D rejections and prior authorizations, and coordinate with pharmacists or physicians.

Symbria Rx Services delivers patient-centered care to the geriatric population in senior-living and post-acute settings. As one of the few 100% employee-owned companies in healthcare, our business practices are guided strictly by the values to which our employee owners are committed to.

US

  • Communicate with insurance companies to facilitate medication approvals.
  • Navigate pharmacy systems to input data and prepare action plans.
  • Communicate with patients and clinician offices regarding medication access.

Shields Health Solutions focuses on improving patient care by removing barriers to medication access. They value creating a positive and inclusive work environment where employees can grow their careers.

US 4w PTO

  • Collaborate with clinic teams to deliver hands-on patient care.
  • Process prior authorizations, resolve insurance issues, and support financial assistance.
  • Educate patients on pharmacy services and assist with specialty and retail prescriptions.

Shields Health Solutions is redefining patient care through specialty pharmacy. They are hiring motivated people and seem to have a good employee culture.

US

  • Conduct routine patient check‑ins to monitor therapy experience, identify concerns, and support adherence to treatment plans.
  • Assist with initial outreach to confirm therapy start and assess early treatment experience.
  • Coordinate patient appointments, follow‑up visits, and clinical monitoring schedules.

Shields Health Solutions partners with hospitals and health systems to develop and manage specialty pharmacies. They focus on improving patient outcomes, enhancing financial performance, and ensuring regulatory compliance for their partners.

US

  • Handle inbound patient calls as your primary responsibility
  • Answer questions about prescriptions, refills, subscriptions, appointments, and account status clearly and accurately
  • Document patient interactions accurately in our systems after each call

Mochi Health is building an AI-driven marketplace that makes healthcare discoverable, connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Their platform gives patients transparent pricing, personalized medication management, and long-term access to their own medical records.

US

  • Consult customers on contact lens purchases via chat and email.
  • Request prescriptions from eye care providers and maintain performance metrics.
  • Proactively engage with the team and abide by company policies.

SeekWell is the parent company of 1-800 Contacts, Framery, and Luna with a goal to make vision care simpler and more accessible. They maintain an award-winning culture that puts the customer first and develops innovative products; they're owned by KKR.

Global

  • Provide empathetic, patient-centric support through phone, email, and in-app messaging.
  • Act as a liaison between patients and providers, relaying critical information.
  • Guide patients through scheduling, telehealth services, and general inquiries.

Allara Health is a women’s health provider specializing in longitudinal care. Trusted by over 60,000 women nationwide, they connect patients with multidisciplinary care teams focusing on hormonal, metabolic, and reproductive care.

$50–$83/hr
US

  • Responsible for remote services, including medication interpretation and dispensing.
  • Collaborates with care providers to ensure safe and cost-effective medication use.
  • Oversees pharmacy technicians and support staff.

Brown University Health is Rhode Island's largest health system and private employer, offering premier health services and the only Level I Trauma Center for southeastern New England. The not-for-profit system comprises three teaching hospitals of The Warren Alpert Medical School of Brown University and community hospitals offering a broad range of health services.

US

  • Connect with customers via phone/email/chat/social media to resolve questions/concerns.
  • Calmly attempt to resolve and de-escalate any issues.
  • Respond to requests for assistance and/or possible processing payments.

TP is a global, digital business services company that delivers advanced, digitally powered business services. With over 500,000 employees speaking 300+ languages, they emphasize community support, client satisfaction, and environmental responsibility.

$19–$24/hr

  • Review and process patients’ enrollment forms to the Patient Assistance Program (PAP).

Caretria is dedicated to improving patient access to medications. Become one of their contributors and join the Caretria Team! They offer a comprehensive benefits package.

US 4w PTO

  • Conduct high-volume outbound and inbound calls with patients, providers, and pharmacies.
  • Collaborate with patients to identify and remove barriers to medication adherence.
  • Accurately document all interactions, outcomes, and identified barriers in appropriate systems.

Aledade empowers independent primary care practices. They were founded in 2014 and have become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.

$65,000–$75,000/yr
US Unlimited PTO

  • Manage communications between patients and doctors and associated documentation.
  • Collaborate with Customer Service to troubleshoot patient requests pertaining to physician requirements.
  • Provide clinical feedback in response to patient inquiries involving medication, lab, side effects.

Hone is an online medical clinic transforming healthcare and enhancing longevity. They use scientific advancements to empower individuals to take control of their health. Hone is a remote-first employer with a focus on people and a culture that values collaboration and joy.

US

  • Maintain full ownership and accountability for initiating phone contact to potential study participants.
  • Conduct phone-based pre-screening interviews for potential study participants to determine pre-qualification status.
  • Consistently provide outstanding customer service with every patient interaction.

M3 Wake Research is an integrated network of premier investigational sites meeting clinical research needs. They have close to 30 owned and managed research sites across the country and continue to grow through acquisitions.

US

  • You will answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
  • You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
  • Accurately input data into both Carenet and EMR (Electronic Medical Records) databases

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.