Pharmacy Call Center Representative

Full-time

Job Description

Come join the staff at OU HSC and become a part of Oklahoma's premier research university which leads the state in education and career opportunities.

OU HSC is one of only four comprehensive academic health centers in the nation with seven professional colleges. This position will be instrumental in our management of the pharmacy call center for the state Medicaid population, as well as being responsible for answering calls from Medicaid members and providers with a goal of achieving one call resolution.

The Pharmacy Call Center Rep provides support to patients, providers, and Pharmacy Staff by maintaining information, participating in surveys, resolving problems, cross training, and attending meetings. Duties :

  • Provides support to patients and providers.
  • Responds to oral and written inquiries from the user community regarding Medicaid issues and related problems.
  • Answers inquiries to include but not limited to Federal rules and regulations, Medicaid, managed care, and fee-for-service.
  • Answers provider questions regarding medical claims. Provides support to the Pharmacy staff.
  • Answers telephone calls, determines nature of call, and directs caller.
  • May perform clerical duties.
  • Maintains information about providers.
  • Stays abreast of constantly changing Medicaid fee-for-service and managed care rule revisions in order to provide accurate information.
  • Organizes reference materials for easy access. Updates provider information. Participates in patient related surveys.
  • Contacts Medicaid recipients for the completion of such surveys.
  • Resolves problems according to agency rules and procedures.
  • Provides guidance to Medicaid providers by identifying and correcting billing problems through the explanation of procedures and benefits.
  • Cross trains with Pharmacy Support Staff and management to achieve competency in all areas of pharmacy support.
  • Attends staff meetings and other meetings as needed.
  • Performs various duties as needed to successfully fulfill the function of the position.

Job Requirements

Education : High School Diploma or GED Experience : 6 months experience in an inbound call center, pharmacy, medical billing, third party pharmacy claims, or closely related experience in a medical or pharmacy environment Skills :

  • Knowledge of Federal rules and regulations related to Medicaid, managed care, and fee-for-service
  • Ability to solve problems
  • Ability to train other Representatives
  • Customer service

Working Conditions :

  • Physical : Sitting for prolonged periods. Speaking and listening. Constant use of the telephone.
  • Environmental : Standard Office Environment.

Equal Employment Opportunity Statement : The University of Oklahoma, in compliance with all applicable federal and state laws and regulations, does not discriminate on the basis of race, color, national origin, sex, sexual orientation, genetic information, gender identity, gender expression, age, religion, disability, political beliefs, or status as a veteran in any of its policies, practices, or procedures.

This includes, but is not limited to, admissions, employment, financial aid, housing, services in educational programs or activities, and health care services that the University operates or provides.

Diversity Statement : The University of Oklahoma is committed to achieving a diverse, equitable, and inclusive university community by recognizing each person's unique contributions, background, and perspectives.

The University of Oklahoma strives to cultivate a sense of belonging and emotional support for all, recognizing that fostering an inclusive environment for all is vital in the pursuit of academic and inclusive excellence in all aspects of our institutional mission.

Hiring contingent upon a Background Check?-YesSpecial Indications : None

Job Posting

May 15, 2023

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Job Description

Come join the staff at OU HSC and become a part of Oklahoma's premier research university which leads the state in education and career opportunities.

OU HSC is one of only four comprehensive academic health centers in the nation with seven professional colleges. This position will be instrumental in our management of the pharmacy call center for the state Medicaid population, as well as being responsible for answering calls from Medicaid members and providers with a goal of achieving one call resolution.

The Pharmacy Call Center Rep provides support to patients, providers, and Pharmacy Staff by maintaining information, participating in surveys, resolving problems, cross training, and attending meetings. Duties :

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  • Stays abreast of constantly changing Medicaid fee-for-service and managed care rule revisions in order to provide accurate information.
  • Organizes reference materials for easy access. Updates provider information. Participates in patient related surveys.
  • Contacts Medicaid recipients for the completion of such surveys.
  • Resolves problems according to agency rules and procedures.
  • Provides guidance to Medicaid providers by identifying and correcting billing problems through the explanation of procedures and benefits.
  • Cross trains with Pharmacy Support Staff and management to achieve competency in all areas of pharmacy support.
  • Attends staff meetings and other meetings as needed.
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Job Requirements

Education : High School Diploma or GED Experience : 6 months experience in an inbound call center, pharmacy, medical billing, third party pharmacy claims, or closely related experience in a medical or pharmacy environment Skills :

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Equal Employment Opportunity Statement : The University of Oklahoma, in compliance with all applicable federal and state laws and regulations, does not discriminate on the basis of race, color, national origin, sex, sexual orientation, genetic information, gender identity, gender expression, age, religion, disability, political beliefs, or status as a veteran in any of its policies, practices, or procedures.

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The University of Oklahoma strives to cultivate a sense of belonging and emotional support for all, recognizing that fostering an inclusive environment for all is vital in the pursuit of academic and inclusive excellence in all aspects of our institutional mission.

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Description

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We also offer free Internet, and discounts on other Cox services valued at up to $300 per month . Need to download some other benefits?

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Statement to ALL Third-Party Agencies and Similar Organizations : Cox accepts resumes only from agencies with which we formally engage their services.

Please do not forward resumes to our applicant tracking system, Cox employees, Cox hiring manager, or send to any Cox facility.

Cox is not responsible for any fees or charges associated with unsolicited resumes.

About Cox Communications

Cox Communications is the largest private telecom company in America, serving six million homes and businesses. That’s a lot, but we also proudly serve our employees.

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About Cox

Cox empowers employees to build a better future and has been doing so for over 120 years. With exciting investments and innovations across transportation, communications, cleantech and healthcare, our family of businesses which includes Cox Automotive and Cox Communications is forging a better future for us all.

Ready to make your mark? Join us today!

Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation / wellness days, and / or PTO).

For more details on what benefits you may be offered, visit our benefits page .

Cox is an Equal Employment Opportunity employer - All qualified applicants / employees will receive consideration for employment without regard to that individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law.

Statement to ALL Third-Party Agencies and Similar Organizations : Cox accepts resumes only from agencies with which we formally engage their services.

Please do not forward resumes to our applicant tracking system, Cox employees, Cox hiring manager, or send to any Cox facility.

Cox is not responsible for any fees or charges associated with unsolicited resumes.

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