What are the responsibilities and job description for the Benefit specialist position at TEKsystems?
A LARGE BENEFITS AND HEALTH PLAN PROVIDER WITHIN THE SALT LAKE CITY AREA IS LOOKING TO HIRE ON A HANDFUL OF PHARMACY BENEFITS SPECIALISTS TO JOIN THEIR TEAM!
Pay : $21 / hr
Start Date : August 19th
Schedule : 6-week Training
6-week Training
Mon-Fri 8-4 : 30pm
8-Hour Shift between 7am-9pm so shifts vary
After 1-year can shift to a hybrid / remote setting
Highlight :
- Industry : Customer Service, Data Entry and Benefits Advisory / Support
- Employment Type : 4 Month Contract-To-Hire (Long-Term)
- Location : Salt Lake City, Utah - Murray
Job Essentials :
- Processes and / or communicates multiple types of pharmacy benefits including coordination of benefits, direct member reimbursements, coinsurance benefits, and mail order prescriptions.
- Receives incoming calls from members, providers, facilities, employer groups, and other departments. Provides superior customer service that is consistent with policies, company values, and quality standards.
- Educates callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines, in collaboration with teammates and other departments.
Makes exception / empowerment decisions within the established exception policy.
- Consistently demonstrates excellent customer service skills including problem solving, telephone etiquette, and responsiveness to customers.
- Ensures that all department phone standards and expectations are met pertaining to call statistics, production, documentation, and quality / accuracy.
- Efficiently and quickly addresses and solves problems on phone calls.
- Acts as a resource to all Pharmacy Benefit Specialist I employees for policy inquiries, questions, and problems that arise.
Acts as a mentor and willingly coaches and develops others under the direction of the team supervisor and trainer, and provides effective feedback to other Pharmacy Benefits Specialists as needed.
- Meets or exceeds department standard for call time and answered call percentage in relation to the team average.
- Efficiently and accurately enter overrides for pharmacy claims. Meets or exceeds department standards for override audits.
- When assigned, assists in the payment of claims for both members and pharmacies while maintaining accuracy standards.
- Completes and analyzes specialized reports that are used to ensure timely and accurate claims adjudication.
- Works closely with the operation and pharmacy teams to educate the staff and resolve problems.
- Maintains the confidentiality of member's personal information to be compliant with internal confidentiality policy. Maintains customer history in member tracking using correct codes and detailed comments.
Additional Skills & Qualifications :
- Demonstrated ability to provide superior customer service
- Demonstrated ability to listen and communicate effectively
- Demonstrated ability to problem solve and work under pressure
- Demonstrated proficiency in navigating computer systems, typing, and technologies
- Demonstrated experience mentoring or training on pharmacy or government benefits
About TEKsystems :
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.
We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
That's the power of true partnership. TEKsystems is an Allegis Group company.
Last updated : 2024-07-02
Salary : $21
