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22Mar

Member Services Representative -FT

MedOne Pharmacy Benefits, Dubuque, IA

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Company & Position Overview

MedOne Healthcare Systems is a national, full-service transparent pharmacy benefit administrator headquartered in Dubuque, Iowa and licensed as a third-party administrator (TPA) by the State of Iowa. We are an innovative and fast-paced company looking for employees interested in working for a business where they can make a difference. MedOne is committed to building solutions with the most current technologies available in the market place. We operate in a fast-growing industry that supports significant business growth and as a result, wonderful growth opportunities for our employees.

Essential Job Functions

  • Excellent communication skills, including a strong command of the English language and the ability to clearly articulate program details, resolve customer, pharmacy and provider concerns over the telephone and in writing.
  • Escalate client-related issues to the appropriate staff member
  • Communicate with appropriate MedOne colleague(s) to resolve member issues, claims payment issues, prior authorization items and daily operations
  • Assist with running standard and non-standard client reports as directed
  • Demonstrate strong organizational, excellent verbal and written communication skills with emphasis on attention to detail
  • Practical application of pharmacy benefit management, including pharmaceutical drugs and drug therapies
  • Work well in a team environment
  • Portray the company in a positive image
  • Required to abide by all rules, regulations and policies of the employer 

Work Hours

  • Full- time position, 32 - 40 hours per week on average, Hours may be variable include weekdays, weekends, nights and on-call 

Required Experience & Skills

  • Minimum of a two-year college degree or working experience in related field
  • Strong working knowledge of Microsoft Office products, especially Word and Excel
  • Ability to gain certification as a pharmacy technician within one year of being placed in position
  • Excellent customer service skills
  • Ability to problem solve and resolve member issues
  • Ability to work effectively in a team environment
  • Must be timely, dependable and must notify supervisor of schedule changes

Highly Preferred Experience & Skills

  • Background in pharmacy or other related healthcare field
  • Understanding concepts of pharmacy benefit management operations

Continuing Education Requirements

  • As needed for various certifications and licenses

 Equal Opportunity Employer (EOE)


NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the organization.

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Job Details

Req Num --
ID 499068
Location
Dubuque, IA
Positions 1
Type
Employee
Status
Full Time
Pay --
Categories
Clerical/Office Administration
Customer Service
Health Care
Insurance
Pharmacy
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Paid Vacation
Paid Holidays

Preferred Candidates

Years of Experience 1-2 Years
Education Associates

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