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**Experienced Customer Service Representative – Pharmacy Benefit Services & Medicare Support**

Remote, USA Full-time Posted 2025-11-24
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! Apply for this job    

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