Remote Customer Service Representative
About The Position
PharmaCentra LLC, a leading provider of customizable contact center solutions in the healthcare industry, is seeking highly motivated and dedicated individuals to join our FULLY REMOTE team as a Customer Service Representative. Based in Georgia, our company is committed to delivering exceptional customer service to patients and healthcare providers. This is a fantastic opportunity to work in the medical field outside of a clinical setting, with the flexibility of a work-from-home position. PharmaCentra LLC specializes in providing customizable contact center solutions to pharmaceutical companies, clinical research organizations, insurance providers, hospital groups, and other organizations in the healthcare industry. As a strategic partner, we are committed to delivering quality results while maintaining flexibility and accountability to our clients' evolving needs and the changing market conditions. Join our team and be part of our mission to make a positive impact in healthcare! The 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
- Education: 2-year college degree in a related field preferred.
- Experience: Two years of applicable experience preferred.
- Skills: 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.
- Technical Skills: Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook).
- Required Equipment: 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
