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What you’ll doIn a few words…Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…Providing high quality services to client and beneficiaries is at the core of what we do every day! The Pharmacy Benefit Management Operations & Services team is the very heart of Abarca and meets that standard by running services from medication therapy management, price eligibility, configurations, and beneficiary services to government services and beyond. Rx Customer Service leads the front lines in conducting satisfaction surveys, addressing complaints, managing manual reversal requests and other needs for our beneficiaries, pharmacies, and clients.As the Pharmacy Call Center Specialist, you will serve at the front line of all incoming and outgoing communication (calls, emails, and faxes) with pharmacies, beneficiaries, and prescribers. You will use Rx Platform and other resources as necessary to resolve caller’s needs.The fundamentals for the job… Manage all incoming calls, emails, faxes and web-generated requests from pharmacies, beneficiaries, and prescribers. Provide service-level standards set by Centers for Medicare and Medicaid Service (CMS) or by client. Rejection support, including overrides. Provide Coverage Determination status to clients including exceptions and appeals. Administrative pre authorizations document, pre authorizations request inquiries, issues, status, and resolution in accordance with federal and department / company policies and guidelines. Answer questions and recommend corrective services to address customer complaints, payment status, manual reversal requests, benefit/eligibility support, provider portal support and response to price appeals. Report identified issues to the appropriate department, for investigation and correction, following the established procedure.What you’re made ofThe bold requirements…Pharmacy Technician Associate Degree required. 3+ years of experience in customer service within healthcare setting. Experience with Microsoft Office tools. Excellent oral and written communication skills. Bilingual fluency in English and Spanish is required. Nice to have…Pharmacy Technician License is a plus.That something extra we´d love to see…  Analytical Problem Solver DetailedPhysical requirements…Must be able to access and navigate each department at the organization’s facilities. Sedentary work that primarily involves sitting/standing.The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Applicant must be a United States’ citizen. Abarca Health LLC does not this time currently sponsor employment visas”.All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of gender, race/ethnicity, gender identity, sexual orientation, protected veteran status, disability, or other protected group status.