Responsibilities:

• Handle incoming calls from pharmacies and providers in a professional, confidential, and timely manner.
• Register and update patient and request information in electronic systems with accuracy.
• Guide pharmacies on benefit coverage, claim submissions, and authorization processes.
• Perform system adjustments and overrides to ensure proper claim resolution.
• Support pharmacies with claim-related issues and processing questions.
• Assist with onboarding or guidance for pharmacy representatives.
• Follow CMS and applicable regulatory standards in all assigned duties.
• Complete additional operational tasks as assigned by leadership.

Requirements:

• Pharmacy Technician Associate Degree from an accredited school.
• Active and unrestricted Pharmacy Technician License in Puerto Rico.
• Minimum of one (1) years’ experience in retail pharmacy, preferred.
• Basic understanding of pharmacotherapy concepts for accurate case evaluation.
• Intermediate proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
• Strong verbal and written communication skills.
• Ability to analyze situations, identify solutions, and work with minimal supervision.
• High level of organization, time management, and attention to detail.
• Available to work rotating schedules 7 days a week between 7:00am and 11:00pm.

Equal Employment Opportunity Employer.