Remote Entry Level Customer Service Representative

PharmaCentra, LLC

1d • Remote

About The Position

The Entry Level Customer Service Representative is responsible for managing healthcare-related tasks related to communication with clients, members, pharmacies, and healthcare providers. This role involves addressing clinical inquiries, assisting members with prescription benefits, and resolving issues within the claims processing system.

Requirements

• High School Diploma or equivalent.
• 1-2 years of applicable experience preferred.
• Knowledge of claims processing, prior authorizations, strong analytical and problem-solving abilities, excellent communication and customer service skills, attention to detail, and ability to multitask in a dynamic environment.
• Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook).
• Windows 10/11 PC (Intel i5/AMD Ryzen 5+, 8 GB RAM, 256 GB SSD), webcam, noise-canceling headset (no Mac or Chromebooks)

Nice To Haves

• Pharmacy experience is a plus.

Responsibilities

• Answer phone calls, emails, and faxes from members, clients, pharmacies, and physicians.
• Assist Member Care Representatives with clinical calls.
• Troubleshoot and resolve claim processing issues in the claims adjudication system.
• Communicate problems and concerns to management.
• Document relevant claims and prior authorization information in the system.
• Perform additional duties as assigned.

Benefits

• Competitive pay and growth opportunities.
• Fully remote with flexible scheduling.
• DailyPay for daily wage access.
• Comprehensive benefits (medical, dental, vision, disability, life insurance) after 90 days.
• Full-time Benefits after 1 Year: 401(k) with company match.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED