Customer Service Representative, Pharmacy Services (Remote) (Bilingual)
Job Description
Job Summary
Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan?s pharmacy benefit programs in accordance with all federal and state laws.
The MTM Pharmacy Service Representative is responsible for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring members to internal departments for medication reviews, scheduling appointments, and acting as a liaison between other departments.
Job Duties
Handles and records inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards.
Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information for our providers, members, technicians and pharmacists.
Provides clerical services and support to the pharmacist and technicians staff with day-to-day operations as delegated.
Follow policies and procedures for appropriate call resolution or transfer to internal departments as required
Utilize appropriate resources to ensure members contact information is current and up to date.
Effectively communicate general Medicare and Medicaid plan benefits to existing members.
Interact with appropriate primary care providers to ensure patient registry is current and accurate.
Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
Proactively identify ways to improve member relations.
Job Qualifications
REQUIRED EDUCATION :
High School Diploma or equivalency
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :
1-3 years of call center or customer service experience
Excellent customer service skills
Ability to work independently when assigned special projects, such as pill box requests, CM referrals, OTC requests, etc.
Strong verbal and written skills and excellent phone etiquette
Ability to multi-task applications while speaking with members
Proficient in using Microsoft Office programs (Word, Excel, MS Teams, and Outlook)
PREFERRED EDUCATION :
Associate's Degree
PREFERRED EXPERIENCE :
3-5 years; healthcare industry experience preferred
Bilingual: Spanish, Mandarin, Korean, Yue Chinese, Vietnamese
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $20.29 - $28.82 / HOURLY
? Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Similar Remote Jobs
Customer Service Representative, Pharmacy Services (Remote) (Bilingual)
Posted on: 02-01-2025 03:58
Customer Experience Agent - No experience needed
Posted on: 02-01-2025 03:58
Part-Time Consumer Product Reviewer (Apply in minutes)
Posted on: 02-01-2025 03:58
WFH Remote Customer Service/Data Entry Representative (remote)
Posted on: 02-01-2025 03:58
Direct-To-Home- Full Time Installation Technician (Berkeley, CA)
Posted on: 02-01-2025 03:58
Resy - Inside Sales Executive (West Coast)
Posted on: 02-01-2025 03:58
Experienced K-12 Educator Turned Consultant Flexible Opportunities
Posted on: 02-01-2025 03:58
Georgia Fully Virtual Special Education Teaching Job
Posted on: 02-01-2025 03:58
Customer Service Representative, Full or Part Time
Posted on: 02-01-2025 03:58
Remote Program Associate for Educator Professional Development
Posted on: 02-01-2025 03:58
Financial Clearance Representative Associate - Remote near Minneapolis, MN
Posted on: 03-08-2024 00:00
PCA Personal Care Assistant
Posted on: 11-09-2024 00:00
Field RN Care Coordinator - Nursing Facilities-Delta, Franklin, Titus, Wood Counties, TX
Posted on: 26-12-2024 06:12
Senior Manager - Aircraft Cybersecurity Operations
Posted on: 16-09-2024 00:00
Online Business Project Manager
Posted on: 27-08-2024 00:00
100% Remote - Business to Business Sales Representative
Posted on: 20-01-2025 06:21
Delta Remote Jobs ? Work From Anywhere (Flexible Schedule)
Posted on: 13-12-2024 17:48
Note-Taking Skills Tutor (Online)
Posted on: 31-01-2025 09:57
Hobby Lobby Remote (Work From Home) Data Entry Jobs ? Entry Level
Posted on: 16-07-2024 19:07
Data Analyst :: 100% Remote
Posted on: 23-11-2024 06:30