Pharmacy Customer Service Representative – Fully Remote

Role Overview

TEKsystems is seeking multiple fully remote Pharmacy Technician or Healthcare Call Center Representatives with experience ranging from 1 to 3 years in healthcare enrollment, pharmacy technician roles, healthcare call centers handling insurance, or related fields. This position supports Medicare members, providers, pharmacies, brokers, and internal teams by addressing questions concerning prescription drug coverage and pharmacy benefits. Employees must carefully listen to members facing medication access challenges, accurately research concerns, communicate benefits clearly, and guide resolution steps.

Key Responsibilities

• Answer inbound inquiries about Medicare pharmacy benefits, prescription coverage, pharmacy claims, and plan information.
• Support members, providers, brokers, internal teams, and relevant stakeholders with pharmacy-related questions and problem-solving.
• Use internal systems, routing queues, vendor applications, plan documents, and knowledge bases to investigate and resolve issues.
• Interpret pharmacy benefit policies, procedures, and plan specifics to provide precise guidance.
• Maintain thorough documentation of all interactions adhering to compliance and procedural standards.
• Escalate complex concerns appropriately and collaborate with internal teams or vendor contacts for solutions.
• Comply with HIPAA, Medicare, organizational, and regulatory requirements at all times.
• Achieve quality, productivity, and customer satisfaction targets in a monitored, structured environment.
• Engage in ongoing training and coaching to stay informed on pharmacy benefits, Medicare programs, and internal protocols.

Required Qualifications

• High School Diploma or GED is mandatory.
• Previous experience in customer service or call center roles is required.
• Excellent verbal and written communication skills.
• Capable of clearly and professionally explaining detailed or complex data.
• Keen attention to detail with strong accuracy.
• Adept at navigating multiple software systems concurrently while assisting customers.
• Ability to perform both independently and collaboratively in a team setting.
• Dependable attendance and capacity to operate within a performance-driven, structured framework.

Preferred Qualifications

• Experience as a pharmacy technician is highly desirable.
• Familiarity with Medicare, Medicare Part D, pharmacy benefits, pharmacy benefit management (PBM), or prescription coverage is preferred.
• Background in healthcare, insurance, benefits, prior authorization, claims, or member services is advantageous.

Additional Information

Applicants must reside in one of the following states to be considered: Florida, Georgia, Maryland, New Jersey, North Carolina, Pennsylvania, South Carolina, or Texas.

This is a contract role headquartered in Harrisburg, Pennsylvania, but fully remote in execution.

Compensation and Benefits

The pay range for this role is $19 to $20 per hour.

Eligible employees may access benefits, which could include medical, dental, and vision coverage; critical illness, accident, and hospital insurance; 401(k) retirement plans with pre-tax and Roth options; voluntary life and AD&D insurance for employees and dependents; short and long-term disability plans; health spending accounts (HSA); transportation benefits; employee assistance programs; and paid time off (PTO, vacation, or sick leave). Eligibility for benefits depends on job classification and duration of employment, and benefits are subject to change as per plan terms.

Company and Compliance

TEKsystems is a global leader partnering with clients across North America, Europe, and Asia, providing business and technology services. The company emphasizes a commitment to diversity and equal employment opportunity, considering all applicants regardless of race, gender, age, religion, disability, or other protected characteristics.

The use of Artificial Intelligence (AI) is incorporated in parts of the hiring process to assist assessment, though final recruitment decisions are made by the hiring team. Applicants acknowledge and consent to AI tools being used for their application review.