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Cust Service, CPHT/PHT

Date Posted: 6/20/2022

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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. 

Duties: 
Receive incoming calls from members, and clients, providing the requested information or support by accessing system and benefit information.
Troubleshoot  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.

Requirements:
High School Diploma or GED
Proficient in Microsoft Office Suite of products
Prior Pharmacy Benefit Management or Retail Pharmacy experience preferred
Experience with multi-line phone system
Bilingual in Spanish a plus

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

Please apply to this ad or send your resume to srandolph@ultimatestaffing.com. 

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 srandolph@ultimatestaffing.com

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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:6/20/2022
  • Contact: Stephanie Randolph (559) 256-1940
  • Pay Range: $18.00 - $20.00 Hourly
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Job Reference: JO-2206-164894