Carelon Global Solutions
|Pharmacy Service Representative
N/A, N/A, Philippines
Summary
Provided comprehensive pharmacy service support, ensuring accurate prescription processing and exceptional patient care within a high-volume healthcare environment.
Highlights
Efficiently processed high volumes of prescription requests, medication refills, and prior authorization inquiries, ensuring 100% accuracy and compliance with healthcare policies and procedures.
Provided empathetic support to patients and healthcare providers, resolving complex prescription inquiries, medication coverage concerns, and pharmacy benefits questions to enhance understanding and satisfaction.
Accurately verified patient information, insurance eligibility, and prescription details using pharmacy management systems, contributing to streamlined service delivery and reduced errors.
Educated customers on prescription benefits, copayments, and medication availability, significantly improving patient comprehension and adherence to treatment plans.
Managed high-volume inbound and outbound calls, consistently achieving service level targets while providing professional, solution-oriented customer support.
Maintained meticulous documentation of customer interactions and updated patient records, ensuring data accuracy and comprehensive information management.
Ensured strict adherence to HIPAA regulations and healthcare privacy standards, safeguarding confidential patient information with zero breaches.
Collaborated cross-functionally with internal teams and healthcare partners, facilitating seamless resolution of customer concerns and enhancing overall service delivery efficiency.