28,222 Customer Service In Pharmacy jobs in the United States

In accordance with state and federal regulations, performs data entry and patient registration. Responsible for resolution of third party rejects and responding to high volume customer inquiries, working under direct supervision. Follows standard operating procedures and performs duties in accordance with company policies and procedures. Responsible for using pharmacy systems to obtain patient and drug information. Duties may vary based on assigned department.

Using Walgreens prescription data entry procedures and guidelines, processes new patient registration by entering data into appropriate system. Handles patient prescription requests within HIPAA guidelines and enters refill orders for processing. Troubleshoots to obtain missing prescription information, and interprets medical abbreviations (SIG codes). Resolves all data entry related exceptions. Handles correspondence to patients (inbound calls, chats, emails) and makes outbound calls to prescribers and patients as needed. Resolves Third Party Rejects by reviewing, gathering information, making corrections and resubmitting for processing according to individual plan requirements. Makes telephone calls to insurers and others to obtain information, gain override approval or otherwise resolve the Third Party Rejects. Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior level staff as appropriate. Must obtain active technician license or certification within the first 90 days, and maintain an active technician license or certification.

Walgreens ( is included in the U.S. Retail Pharmacy and U.S. Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), an integrated healthcare, pharmacy and retail leader with a 170 year heritage of caring for communities. WBA's purpose is to create more joyful lives through better health. Operating nearly 9,000 retail locations across America, Puerto Rico, and the U.S. Virgin Islands, Walgreens is proud to be a neighborhood health destination serving nearly 10 million customers each day. Walgreens pharmacists play a critical role in the U.S. healthcare system by providing a wide range of pharmacy and healthcare services, including those that drive equitable access to care for the nation's medically underserved populations. To best meet the needs of customers and patients, Walgreens offers a true omnichannel experience, with fully integrated physical and digital platforms supported by the latest technology to deliver high quality products and services in communities nationwide.

An employee in this position can expect a salary/hourly rate between $16.50 and $20.80 plus bonus pursuant to the terms of any bonus plan, if applicable. The actual compensation offered will depend on experience, seniority, geographic locations, and other factors permitted by law. To review benefits, please visit jobs.walgreens.com/benefits.

High School Diploma or GED. Basic level PC skills (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line). Basic Search Engines skills to include opening a browser, typing in URLs in the correct location, using a search engine, bookmarking a site, navigating using back/forward/stop buttons, and filling out forms online. Intermediate level keyboarding skills (at least 25 WPM, touch typing, formatting documents). Communicate effectively in writing and verbally. 18 years of age or older.

At least 1 year of pharmacy technician experience in a retail or call center environment. At least 18 months as a pharmacy technician with a certificate/registration by state as granted by the State board for Pharmacy or nationally recognized certification agency. Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction. Intermediate to advanced level keyboarding skills (at least 35 WPM, touch typing, formatting documents). Fluency in Spanish and English.

We are seeking a dedicated and detail-oriented Pharmacy Customer Service Representative for a temporary assignment starting October 5, 2025, supporting both Medicare and Non-Medicare pharmacy customer service operations. This role involves handling sensitive member information with integrity while delivering efficient, accurate, and compassionate service to a wide range of customers including members, providers, agents, and internal teams. This position has a possibility of transitioning to a permanent role after February 28, 2026.

Hours of Operation:

Medicare Support:

1. Open Enrollment (Oct 1 Mar 31): 7 days/week: 8:00 AM 8:00 PM
2. On-Call: After 8:00 PM (MonSun)
3. Non-Open Enrollment (Apr 1 Sep 30): MonFri: 8:00 AM 8:00 PM
4. Sat: 8:00 AM 12:00 PM
5. On-Call: After 8:00 PM (weekdays) and after 12:00 PM (Saturdays)

Non-CARE Support:

• MonThu: 7:30 AM 7:00 PM
• Fri: 9:00 AM 5:00 PM
• Sat: 8:30 AM 12:00 PM

Holiday coverage may be required.

While maintaining the integrity of the sensitive information of our membership, a Pharmacy Customer Service Representative is to provide efficient and accurate responses to external customers including physicians staff, pharmacy providers, members, agents, and internal team members regarding health plan benefits including accessing services, resolving complex problems, pharmacy claim rejections and overrides, group and member eligibility problems, and other non-routine questions. Educates customers on drug formulary guidelines, including drug formulary alternatives and prior authorization criteria. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, fax, email, etc.

• Demonstrates high competency in analyzing, evaluating, and responding to complex pharmacy benefit inquiries from members, providers, employer groups, colleagues, agents, Elite agents, and different customer types across multiple Priority Health products within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
• Utilizes clinical knowledge from pharmacy experience or education to be able to effectively discuss covered alternatives to find less expensive options on the formulary to treat diagnosis
• Collaborates with internal and external resources, promptly provides customers with information and education concerning the drug formulary and prior authorization (coverage determination) requests and ensuring they are completed in a timely manner in accordance with NCQA & CMS requirements
• Recognizes customer concerns, grievances, and appeal rights resolving or escalating to the proper channels to achieve positive outcomes promptly
• Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as corporate values and codes of excellence.
• Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements
• Documents all service interactions with customers within appropriate systems according to guidelines
• Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.

Required:

• High School Diploma or equivalent
• 1 year of relevant experience customer-facing service on phone or face to face; customer service, high volume call center, insurance environment relevant to benefits or managed health care
• 2 years of relevant experience Pharmacy technician experience, pharmacy billing or claim adjudication

Preferred:

• Associate's Degree
• Certified Pharmacy Technician from the PTCB Pharmacy Technician Certification Board
• Licensed Pharmacy Technician

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location: SITE - Priority Health - 1231 E Beltline - Grand Rapids

Department Name: PH - Pharmacy Contact Center

Employment Type: Full time

Shift: Day (United States of America)

Weekly Scheduled Hours: 40

Hours of Work: 7:30 a.m. to 8:00 p.m.

Days Worked: Monday to Saturday

Weekend Frequency: Variable weekends