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Cust Service, CPHT/PHT

Date Posted: 6/14/2022

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Job Description

Located in Fresno, CA 

We are recruiting for a Customer Service Representative for our premier client. As Customer Service Representative, you will have exceptional customer service skills, excellent communication skills, and work well on a team. 

Receive incoming calls from pharmacies, members, and clients, providing the requested information or support by accessing system and benefit information.
Troubleshoot pharmacy claims submission and document calls.
Process requests for member or provider reimbursement.
Audit claims for new groups and troubleshoots claims processing issues by contacting pharmacies.
Escalate incoming customer service calls as necessary for resolution.
Enter administrative prior authorizations.
Follow up on open call tracking episodes until resolved.
Additional duties as assigned.

High School Diploma or GED
Proficient in Microsoft Office Suite of products
Pharmacy Technician certification CPHT or PHT preferred
1 year minimum 2+ years preferred pharmacy experience
Prior Pharmacy Benefit Management or Retail Pharmacy experience preferred
Experience with multi-line phone system
Bilingual in Spanish a plus

Schedule: Monday - Sunday, 5am to 8pm. Full-Time 40 hrs, 2 days off at the discretion of management. 

Great Benefits! Medical, Dental, Vision, 401k, and Room for Professional Advancement! 

If you are not interested and know someone who is, please share this posting and contact

We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
To apply please email your resume to

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Job Snapshot

  • Employee Type:Full-Time
  • Location:Fresno, CA
  • Job Type:Customer Service
  • Experience:Not Specified
  • Education:Not Specified
  • Date Posted:6/14/2022
  • Contact: Stephanie Randolph (559) 256-1940
  • Pay Range: $0.00 - $0.00 Annually
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Job Reference: JO-2206-164894