Updates databases with documentation related to customer interactions and steps taken to serve customer needs.
Maintains records of customer contact and follow-up and resolves customer billing, payment and credit problems.
Qualifications
Minimum Education
High School Diploma or Equivalent
Required Skills and Experience
1-2 years of customer service or call center experience preferred.
Healthcare, pharmacy, PBM, workers' compensation, or insurance industry experience is a plus.
Excellent customer service and de-escalation abilities.
Ability to manage multiple tasks and priorities in a fast-paced environment.
Strong attention to detail and accuracy when documenting customer interactions.
Ability to research, analyze, and resolve customer inquiries independently.
Working knowledge of Microsoft Office applications and customer service platforms.
Excellent time management and organizational skills.
Ability to maintain confidentiality and comply with HIPAA and company policies.
Ability to work both independently and collaboratively within a team environment.
Problem-solving skills and a commitment to delivering a positive customer experience.
Desired Skills and Experience
Bilingual Spanish preferred but not required
Pharmacy tech license (active) preferred but not required
Basic knowledge of pharmacy terminology, prescription claims, and prior authorization processes preferred.
Benefits
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $18.27 - $21.63/hr., and will be based on a number of additional factors including skills, experience, and education.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
There are Two Shifts Available for this Position
Tuesday-Friday 9:30 AM-6:00 PM PST and Saturday 7:00 AM-3:30 PM PST
Sunday-Thursday 7:00 AM-3:30 PM PST
Serves as the primary point of contact for injured workers, pharmacies, adjusters, nurse case managers, and internal stakeholders
Responsible for providing accurate and timely support regarding prescription claims, pharmacy networks, prior authorizations, and general PBM-related questions.
Works to resolve customer concerns efficiently while ensuring compliance with client guidelines, regulatory requirements, and company service standards.
Handles emails correspondence and makes outbound calls
Updates databases with documentation related to customer interactions and steps taken to serve customer needs.
Maintains records of customer contact and follow-up and resolves customer billing, payment and credit problems.
Minimum Education
High School Diploma or Equivalent
Required Skills and Experience
1-2 years of customer service or call center experience preferred.
Healthcare, pharmacy, PBM, workers' compensation, or insurance industry experience is a plus.
Excellent customer service and de-escalation abilities.
Ability to manage multiple tasks and priorities in a fast-paced environment.
Strong attention to detail and accuracy when documenting customer interactions.
Ability to research, analyze, and resolve customer inquiries independently.
Working knowledge of Microsoft Office applications and customer service platforms.
Excellent time management and organizational skills.
Ability to maintain confidentiality and comply with HIPAA and company policies.
Ability to work both independently and collaboratively within a team environment.
Problem-solving skills and a commitment to delivering a positive customer experience.
Desired Skills and Experience
Bilingual Spanish preferred but not required
Pharmacy tech license (active) preferred but not required
Basic knowledge of pharmacy terminology, prescription claims, and prior authorization processes preferred.
