**Experienced Customer Service Representative – Pharmacy Benefit Services & Medicare Support**
Are you passionate about delivering exceptional customer service and making a meaningful impact in the lives of patients? Do you thrive in a dynamic, fast-paced environment where no two calls are ever the same? If so, we invite you to join our team of dedicated professionals at blithequark as a Customer Service Representative for our Pharmacy Benefit Services (PBS) and Medicare Support team.
**About blithequark**
At blithequark, we're committed to helping our customers navigate the complexities of healthcare and pharmacy benefits. As a leading provider of innovative solutions, we're dedicated to delivering exceptional customer experiences that exceed our customers' expectations. Our team of passionate professionals is driven by a shared vision of improving the lives of our customers, and we're seeking like-minded individuals to join our mission.
**Role Description**
As a Customer Service Representative for our PBS and Medicare Support team, you'll play a critical role in representing blithequark and providing exceptional customer service to our members, providers, and pharmacies. Your primary responsibilities will include:
* Answering inbound calls from members, providers, and pharmacies with questions about PBS benefits, mail-order pharmacies, or Medicare
* Taking calls back-to-back while toggling through several applications on multiple screens
* Attending 100% of trainings and the first 90 days of employment
* Updating conversion requests and providing shipment status to members
* Facilitating the transition of requested medications to home delivery
* Advocating for the member patient by placing phone calls, fax, or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillment
* Obtaining new prescriptions from physician's office and recording approval status
* Servicing incoming calls from doctors' offices
* Ensuring accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance, and reduce potential legal concerns
* Resolving questions and/or issues that may be preventing shipment of an order
* Upholding quality and productivity standards on all transactions
* Ensuring complete and accurate documentation into the appropriate systems to maintain quality and meet regulatory requirements
* Using active listening skills when members express concerns about medication coverage or costs and offering members options for a starting coverage review to meet regulatory requirements
* Understanding and striving to meet or exceed call center metrics while providing excellent consistent customer service
**Key Qualifications**
* High School diploma or equivalent required
* At least 2+ years of relevant experience in Healthcare and/or Call Center (Preferred)
* A dedicated workspace with no distractions is required
* Tech Savvy - Strong computer skills including Microsoft Office
* Strong organization skills, written, and verbal communication skills
* Ability to provide exceptional listening and customer service skills; remain calm and helpful even when dealing with difficult callers
* Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions
* Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience
* Ability to work a flexible schedule including Night and/or weekends
**Schedule**
* Training: 9:00 AM-5:30 PM EST - M-F (8 Weeks)
* Post-Training: Schedules may range between 7:00 AM EST - 12:00 AM EST 7 days a week (Schedules may be subject to change based on business needs)
**Benefits**
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including:
* Medical, vision, and dental benefits
* Well-being and behavioral health programs
* 401(k) with company match
* Company-paid life insurance
* Tuition reimbursement
* A minimum of 18 days of paid time off per year
* Paid holidays
**Life at blithequark**
At blithequark, we're committed to creating a work environment that's supportive, inclusive, and empowering. Our team members enjoy a range of benefits and perks, including:
* Work-from-home lifestyle where you can virtually connect with coworkers and customers
* Opportunities for career growth and professional development
* Collaborative and dynamic work environment
* Recognition and rewards for outstanding performance
* Access to cutting-edge technology and tools
* Flexible scheduling and work-life balance
**How You'll Make a Difference**
As a Customer Service Representative for our PBS and Medicare Support team, you'll have the opportunity to make a meaningful impact in the lives of our customers. Here are just a few ways you'll contribute to our mission:
* Help patients understand their pharmacy benefits better
* Use the knowledge you gain from training, your problem-solving skills, and support from your team to answer patient calls effectively
* Help us keep track of our patient interactions while on calls, using your expert listening skills to get to the heart of a patient's question quickly and document all interactions in real-time
* Ensure patients are equipped with the best advice by identifying and empathetically addressing patient concerns and, if necessary, escalating appropriately
**Join Our Team**
If you're passionate about delivering exceptional customer service and making a meaningful impact in the lives of patients, we invite you to join our team at blithequark. Apply now to become a part of our dynamic and supportive team and start making a difference in the lives of our customers today!
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