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Associate Rx Customer Service Specialist - Temp

Abarca Health • San Juan, PR, US • published 2026-10-16 20:20:29.740472

Description

Description: **What you’ll do** *In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…* As the Associate Rx Customer Service Specialist, you will serve at the front line of all incoming and outgoing communication (calls, emails, and faxes) with pharmacies, beneficiaries, and prescribers. You will use Rx Platform and other resources as necessary to resolve caller’s needs. *The fundamentals for the job…* * Manage all incoming calls, emails, faxes and web\-generated requests from pharmacies, beneficiaries, and prescribers. * Provide service\-level standards set by CMS or by client; 80% of calls should fall within service level, less than 5% abandon rate and speed to answer should be less than 30 seconds. * Rejection support, including overrides. * Provide Coverage Determination status to clients including exceptions and appeals. * Administrative PAs\- Document PA request inquiries, issues, status, and resolution in accordance with federal and department and company policies and guidelines. * Answer questions and recommend corrective services to ...

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