Pharmacy Benefits Specialist - Pharmacy Support

CADENCE RX

Not just another PBM

Position Summary:

A Pharmacy Support Representative assists with resolving business‑related cases by taking the necessary workflow steps. Responsibilities include making outreaches to the pharmacy to complete tasks such as provide billing information, processing pending medications, and update pharmacy information.

Roles and Responsibilities:

• Work in designated queues to complete business‑related tasks.
• Handle callback cases to coordinate with the pharmacy to process pending approved medications.
• Identify and prioritize cases that need immediate action and/or escalation.
• Assist pharmacies with updating payers’ billing information.
• Document and update records in Microsoft Dynamics 365.
• Consistently meet required metrics while maintaining quality standards.
• Adhere to all company policies and procedures, and local, state, and federal l...