Healthcare Customer Service Specialist - Bilingual

One of the leading Health Insurance Companies based out of the Salt Lake City Utah area is interested in hiring Bilingual Pharmacy Benefit Specialists to their team! This position is fully onsite in Las Vegas Nevada. The team is interested in candidates that are Bilingual in English and Spanish! Description Responsible for expeditious and accurate adjudication of pharmacy claims, and the provision of excellent customer service to all members, employer groups, providers and other departments or teams. Rotates between pharmacy claims and customer service responsibilities and acts as a subject matter expert in both of these areas. Acts as a mentor to other staff as directed by department leadership. Job Responsibilities: Processes and/or communicates multiple types of pharmacy benefits including coordination of benefits, direct member reimbursements, coinsurance benefits, and mail order prescriptions. Receives incoming calls from members, providers, facilities, employer groups, and other departments. Provides superior customer service that is consistent with policies, company values, and quality standards. Educates callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines, in collaboration with teammates and other departments. Makes exception / empowerment decisions within the established exception policy. Consistently demonstrates excellent customer service skills including problem solving, telephone etiquette, and responsiveness to customers. More responsibilities as assigned Skills & Qualifications Pharmacy Benefit Specialist I certification or Pharmacy Technician Certified (does not have to be current - can be expired) Demonstrated experience in a pharmacy benefits support role. Demonstrated ability to meet performance standards for a Pharmacy Benefit Specialist II