Must be fully bilingual in Spanish & English. Contract-to-hire, based on performance! Pay increase and full benefits after conversion to our payrollPOSITION PURPOSE: The Pharmacy/Member Customer Service Representative is responsible for supporting the pharmacy/member help desk call center functions of the company and for providing timely, knowledgeable and courteous resolution and response to pharmacy, member and product related inquiries.ESSENTIAL DUTIES AND RESPONSIBILITIES:Answer calls and respond to email inquiriesResolve pharmacy issues from members, providers and pharmaciesdetermine the cause of the issue; select and explain the best solution to solve the issue; expedite correction or adjustment; follow up to ensure resolutionRespond to routine inquiries on multiple products from members, providers, pharmacies, and employer groupsResearch required information using available resourcesPlace outgoing phone calls when business ventures warrantRoute calls to appropriate resourceDocument all call information according to standard operating proceduresEnter data accurately and timelyMaintain a positive and professional demeanor at all timesUtilize multiple company database programs for accessing member informationAchieve individual performance goals for productivity and qualityMaintain confidentiality of patient and proprietary informationOther duties as assignedREQUIRED QUALIFICATIONS:Bilingual in English and SpanishHigh school diploma or equivalentMinimum 1 full year - high-volume inbound call center experienceMinimum 1 year - healthcare, pharmacy, insurance experienceProficient in Microsoft Office and industry related software programsEffective verbal and written communication skillsExcellent interpersonal skills with a strong customer focusCapability to efficiently complete tasks in a fast paced environmentAbility to work with peers in a team effortDemonstrated ability to manage multiple priorities and deadlinesA well-organized and self-directed individual who is able to work with minimal amount of supervisionA knowledgeable individual with appropriate industry experience, preferably in the healthcare, insurance or PBM industryAbility to work extended hours, weekends and holidays pursuant with industry demandsPREFERRED QUALIFICATIONS:Medicare Part D knowledgeCertified, Licensed or Registered Pharmacy TechnicianPrevious experience successfully working for an insurance company in a call center environmentStable work history and defined career goals215 LicenseWORK ENVIRONMENT:Call center environment, with exposure to excessive noise with minimal exposure to adverse environmental issues.PHYSICAL REQUIREMENTS:Ability to sit for prolonged periods of time.Pre-employment drug screening and background checks are required. The company offers a competitive salary and benefits package. EOE. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, disability or veteran status.
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