Enrollment Specialist

PrudentRX
2hRemote

About The Position

Are you looking for a 100% work-from-home position where you can tactfully and empathetically assist patient members in navigating and enrolling in their life-changing copay assistant programs? Do you enjoy a predictable environment where you help people, solve problems, and make every call count? Then, join the PrudentRx call center team as a Member Specialist, where you’ll be a trusted guide for members navigating the copay territory and gracefully impacting lives everyday. This role is perfect for someone who thrives in a fast-paced call center, values accuracy and compassion, and takes pride in delivering first-call resolutions. This role requires the daily utilization of interpersonal, computer, and problem-solving skills with a desire to be a team player in assisting others. In addition, you will be joining a growing company that will give you the opportunity to impact your callers and co-workers every day.

Requirements

  • High School Diploma or GED
  • 1 to 2 years of recent Call Center experience in a fast-paced setting
  • Professional, clear, and compassionate phone demeanor and attitude at all times
  • Computer navigation skills, including multiple screens, simultaneous systems use, phone and CRM systems
  • Ability to maintain a high level of confidentiality and always remain HIPAA compliant
  • Excellent verbal and written communication skills for both note-taking and call purposes
  • (25/25mp) to execute all job functions. Additionally, the employee must provide a private workspace with a desk and chair, free from distraction.

Nice To Haves

  • Experience with Salesforce or other CRM software
  • Certified Pharmacy Tech (CPhT) or healthcare customer service a plus
  • Bi-lingual in English/Spanish is a plus

Responsibilities

  • Work inbound and outbound member calls, assisting with the enrollment process.
  • Act as a subject matter expert to provide members with clear, accurate, and up-to-date information regarding program eligibility, requirements, and other enrollment needs.
  • Provide members with tactful and compassionate support throughout the enrollment process (while maintaining professionalism)
  • Escalate unresolved cases and pending member grievances.
  • Utilize the Salesforce CRM database to verify member data to complete enrollment.
  • Generate detailed records and notes of inquiries, comments, and interactions via CRM
  • Work assigned queues and/or cases as directed by call center leadership
  • Complete all necessary continued learning and training requirements per department and company need
  • Other essential duties as assigned.

Benefits

  • Health (family)
  • Dental
  • Vision
  • STD, LTD, Critical Illness and Accident
  • Company Paid Life Insurance
  • Company Paid Holidays (6)
  • PTO
  • Tuition Reimbursement
  • 401(k) 100% company match up to 4% 90 days
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