Pharmacy Service Representative Intermediate (work from home Pennsylvania resident)

• Works with the Health Plan Pharmacist to resolve clinical issues with providers in a timely manner.
• Determines appropriateness of pharmacy benefits under corresponding lines of business.
• Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters.
• Participates in team meetings and workgroups within the department to achieve improvements within the department.
• Assists with member, provider and Geisinger Health Plan departments, maneuvering within the internal and external web service functionality.
• Coordinates the Pharmacy Prior Authorization Letter Printing Process in its entirety.
• Participates in workgroups outside the department to achieve interdepartmental improvements.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.