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Job Information

Molina Healthcare Pharmacy Service Rep in United States

Job Description

Job Summary

Handles provider phone calls regarding pharmacy claims processing in a call center setting. Satisfactorily resolve calls within expected response time standards.

Knowledge/Skills/Abilities

• Handles inbound pharmacy call volume.

• Responds to incoming calls mainly from providers, as required to meet departmental goals.

• Explains Point of Sale (POS) claims adjudication, state Medicaid policy/guidelines, and any other necessary information to providers, in a clear, precise, and professional manner.

• Records calls accurately in call tracking system.

• Maintains specific quality and quantity standards.

• Assists with process tasks & activities.

• Assists with clerical support services/tasks as delegated.

Job Qualifications

Required Education

High School Diploma or equivalent GED

Required Experience

1-2 years Medicaid experience in a community pharmacy

Required License, Certification, Association

Current Pharmacist Technician license

Preferred Experience

Medicaid pharmacy policy

Pharmacy POS claim processing

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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