Resonance CX Partners' mission is to help experienced professionals find opportunities that truly align with their values. We are not a staffing firm or agency. Resonance CX does not hire for these positions—we identify and validate them from customer-focused organizations directly. Employer Industry: Healthcare Services Why Consider This Job Opportunity

• Comprehensive benefits package to support financial, health, and work/life balance goals
• On-demand pay program powered by Payactiv
• Discounts on various services and products, including restaurants and phone plans
• Opportunity for career advancement and growth within the organization
• Flexible work schedule with variable shifts
• Supportive and collaborative work environment

What To Expect (Job Responsibilities)

• Provide efficient and accurate responses to inquiries from external customers and internal team members regarding health plan benefits
• Educate customers on drug formulary guidelines and alternatives, including prior authorization criteria
• Collaborate with internal and external resources to ensure timely completion of coverage determination requests
• Recognize and resolve customer concerns, grievances, and appeal rights
• Maintain accurate documentation of all service interactions with customers

What Is Required (Qualifications)

• High School Diploma or equivalent
• 1 year of relevant experience in customer-facing roles, such as customer service or high-volume call center
• 1 year of relevant experience as a pharmacy technician or in pharmacy billing/claim adjudication
• Must maintain CPhT certification through continuing education
• Availability to adhere to established work schedules and guidelines

How To Stand Out (Preferred Qualifications)

• Associate's degree
• Certified Pharmacy Technician (CPHT) certification from PTCB upon hire
• State of Michigan Pharmacy Technician license upon hire

HealthcareServicesCustomerService #CareerOpportunity #PharmacyTechnician #Benefits "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer." #ResonanceCXPartners