Customer Service Specialist
New
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HealthesystemsPharmacy Benefit Management
States preferred: AL, AZ, FL, GA, ID, IN, MD, MS, MO, NC, OH, OK, PA, SC, TN, TX, UT, VA (we are unable to hire in every state), Eastern TimeFull-TimeEntry
Salary19 USD per hour
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Job Details
- Experience
- One to two years related customer service and/or healthcare experience
- Required Skills
- Customer serviceMultitaskingData entry
Requirements
- High school diploma or general education degree (GED).
- One to two years of related customer service and/or healthcare experience.
- Reliable, high-speed internet access with sufficient bandwidth.
- Private workspace free from distraction and noise.
- Proficiency in Windows-based applications.
- Ability to multi-task with dual monitors and swift keyboard data entry skills.
- Strong verbal and written communication, listening, and organizational skills.
- Strong problem-solving and reasoning skills.
- Ability to work varying or rotating shifts, including overtime, weekends, and holidays.
- Patience, professionalism, and compassion when handling difficult situations.
Responsibilities
- Build trusted relationships with clients, claimants, and pharmacies.
- Resolve phone inquiries related to claims adjudication, eligibility verification, and prior authorization.
- Handle functions related to Pharmacy Benefit Management, Ancillary Benefits Management, and Billing Verification.
- Translate jargon and complex processes into simple, step-by-step instructions for customers.
- Adhere to attendance, punctuality, and quality guidelines, including availability for rotating shifts, weekends, and holidays.
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