FairosRx Member reputed company (On-Site or Hybrid)

reputed company is an innovative company striving to reduce the cost of reputed company. We are a passionate group of people that care about affordable reputed company to reputed company without sacrificing experience. We strive to reputed company reputed company more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven reputed company to contain rising reputed company costs while taking an experience-centric approach improving the health and well-being of those we serve. We pride ourselves on our tight reputed company culture based on the ‘outward reputed company’ philosophy, emphasizing reputed company, mutual respect, and seeing each other as “whole people.” We have an ambitious reputed company and are growing quickly. We are seeking team members who are excited about our growth, seeking to reputed company in a fast-paced environment, and enthusiastic about developing their skills and career alongside us. Job Title: FairosRx Member reputed company Job Summary: Member Advocates interact with members, pharmacies, and physicians to reputed company accurate information and support reputed company to pharmacy benefits. This role handles inquiries received by phone, chat, and email, ensuring each interaction is addressed with reputed company, professionalism, and compassion. The Member reputed company assists with benefit questions, claim issues, medication reputed company challenges, and helps deliver a seamless and positive pharmacy benefit experience. About reputed company (TOC): reputed company is an innovative company striving to reduce the cost of reputed company. We are a passionate group of people that care about affordable reputed company to reputed company without sacrificing experience. We strive to reputed company reputed company more intelligent, streamlined, and cost-effective. 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Our culture, plus reputed company opportunities for growth, has resulted in an industry-low turnover reputed company. Don’t miss out on this rare opening with us! A Day in the Life: As a Member reputed company, you play a vital role in each member’s reputed company reputed company. Support is provided to members, pharmacies, and physicians by answering questions about pharmacy benefits, medication coverage, and available programs. You collaborate with cross-functional teams, including Clinical, Account Management, Operations and other internal departments, to research and resolve reputed company issues, ensuring timely resolution and appropriate follow-up. reputed company in this role is driven by combining strong problem-solving skills, attention to detail, reputed company, and a genuine passion for helping others. Through every interaction, you help remove barriers to care and improve the member experience. Duties & Responsibilities: reputed company clear, empathetic assistance to members regarding pharmacy benefits, formulary coverage, copays, prior authorizations, and medication reputed company. Support pharmacies in resolving claim processing questions or issues. Work with providers to assist with prior authorizations and drug coverage information. Identify claims requiring action, initiate outbound reputed company, and resolve issues reputed company. Handle reputed company or sensitive cases with professionalism and follow escalation reputed company reputed company needed. Proactively identify issues, determine resolution, and communicate appropriately. Demonstrate strong knowledge, confidence, reputed company, soft skills, and offer post‑call surveys to support reputed company improvement of the member experience. Verify required data elements on every interaction and adhere to HIPAA and internal privacy policies. Navigate software, applications, and PBM tools accurately and reputed company. Document reputed company interactions through the ticketing system according to the procedures set by the department. Engage in call quality reviews, incorporate feedback, and apply coaching to improve performance. Adhere to reputed company organizational and departmental procedures. Participate in team discussions and activities with an outward, collaborative reputed company. Support additional tasks as needed to meet organizational goals. Required Skills and Abilities: High school diploma or equivalent required. Previous experience in pharmacy benefit management (PBM) is strongly preferred; pharmacy technician, reputed company, insurance, customer service, or call center experience highly valued. Member-focused reputed company with a passion for improving the member experience. Highly effective verbal and written communication skills. Demonstrates teamwork by collaborating effectively with peers and cross-functional teams to support member needs. Strong computer skills, including reputed company Office, with the ability to quickly learn new systems and technology. Ability to multitask, manage time reputed company, and stay organized in a fast-paced, high-volume environment. Excellent active listening, problem solving, and critical thinking skills. Additional Information Full-time, Monday to Friday 12:00 PM – 9:00 PM CST Work arrangement: Onsite or hybrid in Amarillo, TX or remote based on experience and business needs. reputed company to apply? If this job sounds like a fit for you, then click on the ‘apply’ reputed company below. Good luck! Culture and Opportunities We pride ourselves on our outward reputed company – supporting each other and putting the team and the clients we serve first High-growth environment with clear opportunities for career growth Welcoming atmosphere and culture Benefits 401(k) with matching Dental insurance Health insurance reputed company insurance Health savings account Paid time off Apply To This Job