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Pharmacy Customer Service Representative

Milwaukie, OR
Moda Health

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Pharmacy Customer Service Representative

Job Title

Pharmacy Customer Service Representative


Open Until Filled





Other Location

Job Class: 106.6


Let's do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.We are seeking Customer Service Representative for our Pharmacy Customer Service Department. This position is responsible for providing customer service to members of multiple benefit plans by analyzing the caller's needs and by providing timely and accurate responses. Answer calls from members (Commercial Medicare Part D and UMP/Aetna), agents, providers, hospitals, pharmacists, PBM and Mail Order carriers regarding pharmacy benefits or other issues. Are you ready to be a betterist? If you're ready to make a difference that matters, we want to hear from you. Because it's time to discover what's possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

Required Skills

1. High School diploma or equivalent.

2. 1 - 2 years experience in a pharmacy or insurance setting helpful.

3. Practical knowledge of medical terminology desired.

4. Knowledge of diagnosis and procedure coding desired.

5. Claim processing experience or prior customer service experience or other related experience such as pharmacy clerk or technician.

6. Excellent verbal and written communication skills and ability to interact professionally, patiently, and courteously with customers over the phone and in person.

7. Good analytical, problem solving and decision-making skills.

8. Type a minimum of 25 wpm net on computer keyboard.

9. Must be proficient with Microsoft Office applications, and able to learn MedAccess, Business Objects, CF, GF, EOS and ITS.

10. Ability to work well under pressure with frequent interruptions and shifting priorities.

11. Ability to come to work on time and be ready to work at the time of assigned shift.

12. Maintain confidentiality and project a professional business presence and appearance.

13. Knowledge of ODS business processes and how they relate to the Pharmacy area helpful.

14. Demonstrated ability to comply with company rules and policies.

15. Demonstrated ability to handle difficult, angry calls and benefit issues with little assistance.

16. Ability to come in to work on time and on a daily basis.

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