Remote Call Center Customer Service Representative
PATIENT CARE ADVOCATE (aka PATIENT CLIENT ADVOCATE). Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond to questions. Document issues and resolutions in a common database. Escalate issues as necessary.
ESSENTIAL FUNCTIONS: - Handle inbound and outbound member, provider and physician calls. - Answer questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable. - Work with other operational departments to research and resolve mail order and claims issues and respond to members within performance agreement guidelines. - Maintain accurate and complete documentation of all inquiries in order to continuously improve the customer service process and reduce potential legal concerns. - Identify and escalate in a prudent manner, concerns received from patients and/or clients so that corrective action can be pursued and expedited to take care of their needs. - Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety - Other duties as needed
Job Type: Full-time
Schedule:
? Monday to Friday
? Weekends as needed
People with a criminal record are encouraged to apply
Experience:
? Call center: 1 year (Preferred)
? Customer service: 1 year (Preferred)
Work Location: Remote
Similar Remote Jobs
Remote Call Center Customer Service Representative
Posted on: 03-02-2025 00:00
Data Entry Agent - WFH REMOTE
Posted on: 03-02-2025 00:00
MBSAQIP Abstractor (Remote, Full-time, or Part-time)
Posted on: 03-02-2025 00:00
Fulfillment Specialist - Up to $18.50/hr
Posted on: 03-02-2025 00:00
Work From Home- Assistant to Travel
Posted on: 03-02-2025 00:00
Papa Pal (Caregiver) in Stuart, FL
Posted on: 03-02-2025 00:00
Associate Manager, Fund Finance & Operations
Posted on: 03-02-2025 00:00
Content Creator, TikTok (Part time, Contractor)
Posted on: 03-02-2025 00:00
Work from Home Social Media Marketer
Posted on: 03-02-2025 00:00
Consultant-Customer/Solution Support Engineer - Azure Infrastructure
Posted on: 03-02-2025 00:00
Flexible Online Typing Jobs for 16-Year-Olds - Earn & Learn!
Posted on: 16-01-2025 19:17
Coca-Cola Industrial Engineering Project Manager
Posted on: 20-01-2025 06:20
Work From Home Delta [Data Entry Jobs] ? Earn $22/Hour
Posted on: 07-09-2024 00:00
Virtual Receptionist/Data Entry Clerk
Posted on: 27-08-2024 00:00
Engagement Director (Remote From Anywhere)
Posted on: 16-01-2025 19:16
Online Web Chat Officer
Posted on: 02-09-2024 00:00
Personal Banker Delta (Remote - hybrid)
Posted on: 08-11-2024 05:10
Parcel Delivery Driver – Holiday Season
Posted on: 19-09-2024 00:00
Remote Senior Data Architect | WFH Opportunity
Posted on: 13-12-2024 17:48
Payroll Compliance Analyst - National Remote
Posted on: 17-09-2024 00:00