Customer Service Representative -(#26-11790)

Responsibilities

• Respond to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, to enable access to care and reimbursement needs.
• Focus on patient empathy and the consumer experience to assure our patients of ease of use of program goals and ultimately drive access to care and medication adherence.
• Process claims and/or answer phones based on volume.
• Engage in resolving issues by referring to requests for escalation and collaborating with other internal areas such as Program Management, IT, and other Patient Support teams.

Requirements

• Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred).
• Call Center operating metrics and performance management experience (a plus).
• Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus).
• Some experience with any Third-Party systems (SelectRx, Pro-Care, FSV) (a plus).
• Experience with Call Center software (Five9, In-Contact, or similar) (a plus).
• Fluency in English/Spanish (a plus).
• Communication skills: ability to convey information in easy-to-understand language.
• Actively listens; Uses writing effectively to create documents; uses correct spelling, grammar, and punctuation.
• Customer Focus: high level of empathy and emotional intelligence; Focuses on the opportunity to service patients with a high level of empathy.
• Adaptability: Adapts to a variety of situations efficiently and effectively navigates situations.
• Problem Solve; Thinks critically, and problem-solves issues to resolution.
• Experience: 1+ years in healthcare or case management experience in a high-volume contact center environment or similar environment preferred.

Qualifications

• Education: High School or GED required.

Skills

• PTOMetric
• Financial Project Management
• Billing
• Answer Phones
• Medical Invoicing
• Claims Processing
• Patient Care
• Case Management
• Pharmacy Benefits
• Claims
• Medical Billing

About the Role

Tech Solutions provides a wide range of talent on-demand and total workforce solutions. For more information, visit www.ustechsolutions.com.

Benefits

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.