Pharmacy Customer Service

TekSystems is currently hiring for a FULLY REMOTE Healthcare/Pharmacy Customer Service Representative. This position would be in EST time zone and the approved working states would be: Florida

Georgia

Maryland

New Jersey

North Carolina

Pennsylvania

South Carolina

Texas

MUST HAVE: 2-3 years of healthcare call center/customer service experience, or medical scheduling experience, or something related! Experience with insurance verification or authorizations is a huge plus/also experience with healthcare insurance is also a plus!

Description

This role supports members, providers, pharmacies, brokers, and internal teams with pharmacy benefit and prescription drug coverage questions. Many calls involve members who are actively trying to fill a medication and need timely, accurate support to understand coverage, resolve claim rejections, or identify next steps.

• Respond to inbound calls and inquiries related to commercial pharmacy benefits, prescription coverage, pharmacy claims, and plan information.
• Assist members, providers, brokers, internal teams, and other stakeholders with pharmacy-related questions and issue resolution.
• Research and resolve inquiries using internal systems, routing queues, vendor applications, plan documents, and knowledge resources.
• Review and interpret pharmacy benefit information, policies, procedures, and plan requirements to provide accurate guidance.
• Document all interactions thoroughly and accurately in accordance with compliance and procedural standards.
• Escalate complex issues when needed and coordinate with internal teams or vendor contacts to support resolution.
• Maintain compliance with HIPAA, organizational, plan, and regulatory requirements.
• Meet quality, productivity, and customer experience expectations in a structured, monitored environment.
• Participate in training and coaching to maintain current knowledge of commercial pharmacy benefits, plan requirements, and internal processes.

Required Qualifications

Additional Skills & Qualifications

• High School Diploma or GED required.
• Prior customer service or call center experience required.
• Strong verbal and written communication skills.
• Ability to explain detailed or complex information clearly and professionally.
• Strong attention to detail and accuracy.
• Comfortable navigating multiple systems while assisting callers.
• Ability to work independently and as part of a team.
• Reliable attendance and ability to work in a structured, performance-driven environment.

Preferred Qualifications

• Healthcare call-center or health-plan member-services experience
• Commercial health-insurance or pharmacy-benefit experience
• PBM, prescription-coverage, pharmacy-claims, or prior-authorization experience
• Claims, benefits, insurance, or member-services experience
• Pharmacy technician or pharmacy-support experience

Job Type & Location

This is a Contract position based out of Harrisburg, PA.

Pay And Benefits

The pay range for this position is $19.00 - $20.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract position based out of Harrisburg, PA.

Application Deadline

This position is anticipated to close on Oct 29, 2026.

Workplace Type

This is a fully remote position.

About TEKsystems

We’re partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clie…