Specialty Customer Service Representative I (Pharmacy Benefits Management)

Location: Tempe, Arizona, United States; the position works on-site at the San Diego Headquarters or another company location, with remote work possible only with management approval.

Salary: $16.47–$20.80–$25.13

Company

hirify.global is a privately held pharmacy benefit manager providing pharmaceutical and technology solutions that improve healthcare outcomes, cost, transparency, and choice.

What you will do

• Respond to phone inquiries, faxes, and emails from pharmacies, physicians, health-plan sponsors, members, and beneficiaries.
• Research and resolve questions involving specialty benefits, formulary requirements, eligibility verification, prior authorization, and other PBM processes.
• Process incoming faxes and forward referrals to the appropriate specialty pharmacy fulfillment partner.
• Use specialty service-center and database applications to support referral fulfillment and provide accurate benefit information.
• Follow up with callers, de-escalate difficult interactions, and provide timely, solution-oriented resolutions.
• Meet department standards for hold time, abandonment rate, talk time, quality, turnaround time, and schedule adherence.

Requirements

• GED or high school diploma and at least six months of experience, or an equivalent combination of education and experience.
• Intermediate knowledge of Microsoft Word, Excel, Outlook, and Windows-based database programs, with the ability to learn new applications.
• Strong listening, verbal, written, interpersonal, customer-service, problem-solving, and organizational skills.
• Ability to follow procedures, meet commitments, handle sensitive inquiries, and work effectively with internal and external clients.
• Valid, unrestricted state pharmacy technician license and/or national certification is strongly preferred.
• Must be able to work on-site at the applicable company location unless remote work is approved by management.

Culture & Benefits

• Full-time, non-exempt employment with occasional overtime, including nights, weekends, or holidays when required.
• Typical schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.
• Medical, dental, vision, and wellness programs.
• Paid time off, company-paid holidays, incentive compensation, and a 401(k) with company match.
• Life and disability insurance, tuition reimbursement, and an employee referral bonus.