Work From Home Call Center Representative

Scope of Responsibilities

Acquires skillset and knowledge of PBM and mail order resources, within their respective platforms, to effectively answer and document member related inquiries, complete eligibility updates and service member and client request in an accurate and efficient manner.

Job Summary

Entry level position. Works under direct supervision following standard procedures and best practices to accomplish assigned tasks, undergoing job training, assisting staff members to complete daily duties and works toward answering incoming and making outbound calls independently.

Responsibilities

• Help Desk phone coverage for incoming calls, outbound calls and directing incoming calls to appropriate staff members.
• Understand, master and gain efficiency in systems leveraged by the Help Desk.
• Provide Help Desk resolution of customer service issues to insure complete client satisfaction.
• Provide Help Desk resolution of Pharmacy Network problems to insure complete client satisfaction.
• Aid in the startup of new clients including new group enrollments, changes, and deletions.
• Aid in on-site client orientation, health fairs and business conferences as needed.
• Aid in on-site resolution of customer service issues to clients as needed.
• Perform office duties as needed (includes copying, collating, mailings, filing, credit cards).
• Complete all mandatory and regulatory training programs.
• Perform other duties as assigned.

Qualifications

• Attendance Requirements: Must be available, and on time for scheduled work shifts.
• Educational Requirements: Preferred: High School Diploma or GED, or equivalent experience.
• Experience Preferred: 0-2 years experience as Rx Technician or Customer Service Representative in a health care related service.

Special Conditions Of Employment

• Drug test
• Initial and continuous exclusion and sanction/disciplinary monitoring
• Any and all additional eligibility requirements based on the specific positio

Required Training

• HIPAA Privacy Course
• HIPAA Security Course

Job Skill Requirements

• Exceptional phone and listening skills.
• Exceptional written and verbal communication skills.

Compensation

$16.00 per hour. The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.