Customer Service Representative

Our client currently services 27 million members nationwide with clients that include Fortune 500 employer corporations, unions, managed care organizations, health plans, insurance carriers, third-party administrators, as well as local, state and federal employee programs.

This company provides a comprehensive range of services to manage pharmacy benefits for a variety of healthcare providers across the United States. One of the primary services that they provides is the processing of pharmacy claims and prior authorization requests.

Once a member takes their prescription from their physician to their pharmacist to be filled, the pharmacist will electronically link into a claims system to verify coverage and the copay amount to charge the member. If the member, physician or pharmacist has any questions, special requests or issues with the prescription, they are directed to the Call Center which is where they will interact with the CSR's. The calls will vary depending on who is calling and from what state. If the call is coming from a member, the calls normally are concerning the prescription coverage they have and why they cannot obtain a specific prescription. If the call is from a physician or pharmacist, the calls become a bit more technical in nature as they are looking for specific member information, coverage boundaries, copay adjustments, and submitting prior authorization requests for members.

The CSR will be required to handle all of these calls but, with time and proper performance, they could be moved to a specific caller queue such as Medicare Part D Member calls. The CSR will be responsible for answering these inbound calls promptly and with outstanding professionalism as they will not know where the call is coming from before they begin the call. They will take the caller information first and verify account info before moving forward with the reason for the call. The CSR will then provide the caller with a solution accordingly and document all communication. At the end of every call the CSR is required to ask if there is anything else they can assist the caller with before disconnecting with the caller.

About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.