Pharmacy Help Desk Representative

Location: Irving, TX
Description: Judge Group is currently seeking a Pharmacy Help Desk Representative to provide customer service to incoming and outbound calls to providers, beneficiaries and pharmacies.
This is a full time, permanent opportunity! Offering competitive salary, benefits, and PTO for the qualified candidate selected!
This job will have the following responsibilities:
  • Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, and payment
  • Answer incoming providers’ and beneficiaries’ calls 
  • Follow HIPAA and Pharmacy Laws Standards. 
  • Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions. 
  • Document all inquiries in system
  • Route the case to the corresponding internal department or the appropriate Health Insurance Carrier. 
  • Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment. 
  • Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business. 
  • Identify system issues and route to the corresponding internal department. 
  • Make outbound calls to pharmacies, providers and beneficiaries if necessary. 
  • Support all Quality Management Program initiatives. 

Qualifications & Requirements:
  • Pharmacy Technician, Technical or Associate Degree
  • Bilingual (Spanish & English)
  • 1 - 2-year customer service or call center experience and healthcare environment
All interested candidates should email an up to date resume to Tim ( or apply directly to this post for immediate consideration!

This job and many more are available through The Judge Group. Find us on the web at
The Judge Group
Full time
Salary Range
$36,000.00 - 49,000.00
per Year
Salary range estimated by
Irving, TX 75084, US
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