Experienced Customer Service Representative, Pharmacy Services – Remote Opportunity

At careerzynith, we're dedicated to providing exceptional healthcare services to our members, and we're seeking a skilled and motivated Customer Service Representative, Pharmacy Services to join our team. This is a fantastic opportunity to work in a remote environment, where you'll have the flexibility to work from the comfort of your own home while making a real difference in the lives of our members.

About careerzynith

careerzynith is a leading healthcare organization that's committed to improving the health and well-being of our members. We offer a comprehensive range of services, including pharmacy benefits, and we're passionate about delivering exceptional customer service. Our team is made up of dedicated professionals who share our vision of providing high-quality healthcare services that meet the unique needs of our members.

Job Summary

As a Customer Service Representative, Pharmacy Services, you'll play a critical role in ensuring that our members have access to the medications they need, while also promoting cost-effective and safe use of prescription drugs. You'll be responsible for handling inbound and outbound calls from members, providers, pharmacists, pharmacies, and technicians, and for providing exceptional customer service while maintaining compliance with federal and state laws.

Key Responsibilities

* Handle and record inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards.

• Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information for our providers, members, technicians, and pharmacists.
• Provide clerical services and support to the pharmacist and technicians staff with day-to-day operations as delegated.
• Follow policies and procedures for appropriate call resolution or transfer to internal departments as required.
• Utilize appropriate resources to ensure members' contact information is current and up to date.
• Effectively communicate general Medicare and Medicaid plan benefits to existing members.
• Interact with appropriate primary care providers to ensure patient registry is current and accurate.
• Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
• Proactively identify ways to improve member relations.

Essential Qualifications

* High School Diploma or equivalency

• 1-3 years of call center or customer service experience
• Excellent customer service skills
• Ability to work independently when assigned special projects
• Strong verbal and written skills and excellent phone etiquette
• Ability to multi-task applications while speaking with members
• Proficient in using Microsoft Office programs (Word, Excel, MS Teams, and Outlook)

Preferred Qualifications

* Associate's Degree

• 3-5 years of experience in the healthcare industry
• Bilingual: Spanish, Mandarin, Korean, Yue Chinese, Vietnamese

Skills and Competencies

* Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and prioritize tasks effectively
• Strong problem-solving and analytical skills
• Ability to maintain confidentiality and handle sensitive information
• Proficient in using technology, including Microsoft Office programs and CRM systems
• Strong attention to detail and organizational skills

Career Growth Opportunities and Learning Benefits

At careerzynith, we're committed to helping our employees grow and develop their careers. We offer a range of training and development opportunities, including:

• On-the-job training and mentorship
• Ongoing education and training programs
• Opportunities for advancement and career growth
• A supportive and collaborative work environment

Work Environment and Company Culture

We're proud of our company culture, which is built on a foundation of respect, empathy, and teamwork. Our team is made up of dedicated professionals who share our vision of providing exceptional healthcare services. We offer a flexible and supportive work environment, with opportunities for growth and development.

Compensation, Perks, and Benefits

We offer a competitive compensation package, including:

• A competitive hourly rate of $20.29 - $28.82
• A comprehensive benefits package, including medical, dental, and vision insurance
• Paid time off and holidays
• Opportunities for advancement and career growth

How to Apply

If you're a motivated and customer-focused individual who is passionate about delivering exceptional healthcare services, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and let's discuss how you can become a vital part of our success story.

Take the Next Step

Are you ready for this challenge? Apply now and let's discuss how you can become a vital part of our success story. Apply for this job