Customer Services Concierge Support, Intermediate
By Blue Shield of California At , Redding, Ca $18.07 - $25.30 an hour
Resolve pharmacy calls concerning benefit coverage, co-pays, formulary coverage, vacation overrides, and utilization management requirements
Resolve incoming calls concerning members eligibility, benefits, provider information, clinical and pharmacy needs
Compose routine and non-routine correspondence to answer benefits/provider inquiries in writing
Requires at least 3 years of prior relevant experience
Coordinate membership changes such as member’s primary care physician
Analyze available programs, determine program eligibility, and connect member to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists