Patient Services Representative - Pharmacy Benefit Management

Job Description

Job Description

Patient Services Representative Compensation: $20.00 - $24.00 / hour Schedule: 11:00 AM - 7:00 PM (with rotating weekend coverage)

Are you a retail pharmacy technician tired of being on your feet all day? Or a healthcare call center professional looking to elevate your career?

Our client is looking for an adaptable, patient-focused Patient Services Representative to act as the ultimate liaison for their patients, pharmacies, and clients. In this role, you will take ownership of solving patient inquiries, troubleshooting claims, and ensuring customer satisfaction remains at the core of every decision you make.

What You'll Do

• Be the Expert Voice: Receive incoming interactions from pharmacies, clients, and patients, providing accurate support and information regarding pharmacy benefit plans while adhering to our client's policies and procedures.

• Omnichannel Support: Seamlessly manage customer interactions across multiple platforms, including phone, email, and chat.

• Problem Solve: Troubleshoot pharmacy claims submissions and provide clinical call support for prior authorization-related inquiries.

• Document & Organize: Accurately track calls and issues in the internal ticketing system and assist in keeping pharmacy outreach queues up to date.

• Collaborate: Provide cross-department support on special projects and escalate complex calls to the appropriate party for resolution.

• Support the Team: Participate in rotating after-hours and weekend coverage to ensure patients always have the help they need.

What You Bring (Required)

• High School Diploma or GED.

• Proven track record of delivering excellent customer service, preferably in a fast-paced call center, pharmacy, or healthcare setting.

• Proficiency in the MS Office Suite (Outlook, Excel, Word, and Teams).

• Exceptional communication skills and the ability to multitask without losing focus on the customer.

• Flexibility to work the required 11:00 AM - 7:00 PM shift, plus rotating evenings, weekends, or holidays as needed.

The Ideal Candidate (Preferred Qualifications)

We are seeking a healthcare specialist. Candidates with an active Pharmacy Technician License and National Certification (PTCB or ExCPT) will move to the front of the line. Candidates with PBM business office experience performing outbound calls are highly encouraged to apply!

Don't have your full certification yet? There is room to grow! We are actively looking to transition driven individuals out of Retail Pharmacy or standard Healthcare Call Centers. If you are a Trainee or an experienced healthcare customer service professional, we will consider your application- provided you are committed to obtaining your TX Tech License and National Certification within 6 months of your full-time hire date.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

\nCompany Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?