Health Care Customer Service

Company: Pharmaceutical Strategies
Location: High Point
Posted on: November 22, 2021

Job Description:

Job Description Description: WFH for now - Possibly return onsite at a later date - Local Candidates only Description: Please see below description: 1. Do you have experience with Employee Benefits Enrollment? (experience enrolling in your own benefit plans does not count). a. If yes, which company on your resume was it with and tenure? 2. Have you worked in a call center before? a. If yes, please list the typical call volume. 3. Do you understand that there is a Up to 5 week training class between (8am 9am EST 6pm 7pm EST) with mandatory attendance? (This is very important planned time off during training cannot be accommodated and you will not be able to continue in this position. No exceptions can be allowed due the nature of the training.) 4. After Training are you able to work Monday - Friday, sliding start times between 7am - 9am EST ending after 8.5 hours per day; 30 min lunch; any shift : Y or N a. Are you able to work Saturdays between 7:00am -4:00pm EST? Note: If you are offered and accept this position, you will be asked to attest to your answers to questions 1 4 above. And, will be expected to proactively reschedule any planned appointments that occur during the training period. SCREEN OUT CRITERIA Please do not submit candidates if they have any of the following: ANY planned time off during the training period Cannot commit to work any shift within the hours Are not computer savvy Candidate MUST be cleared on boarding by Aug 20th to make roster. Please Accept within 24 hours. Schedules start getting set during week 3 of training to go into system the week before training is over. TRAINING IS MANDATORY - Please no candidates with a any large amounts of planned time off during project duration. NOTHING DURING TRAINING. Candidates will not be moved forward. Skills: Must have a passion for customer service o Healthcare or HR generalist and in call center o Just in call center (not industry) o Strong customer service Duties Key Responsibilities: Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing. Ability to work in a fast paced environment, handling both inbound and outbound calls. Must be organized, detail-oriented and able to document cases clearly and accurately in accordance with the program guidelines. Good communication skills are essential, both internal and external. Knowledge of Medicare benefits, enrollments and LIS assistance. Plans and organizes work assignments, set priorities and completes work with a minimum of supervision. Adheres to the service policy and principles of the company, as well as the program guidelines set by the department. Participates in cross-training to perform all roles within the department. Communicates effectively and professionally with our program partners to assure the best possible service for our patients and partners. Other duties as assigned. Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion. Visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role. Work Environment: Work in a climate-controlled, smoke-free internal environment. Experience Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization Knowledge of Business Blocks and CPR Preferred Qualifications: Minimum of One (1) year work experience in applicant patient areas Position Summary Work with a team of specialists dedicated to one of our manufacturer partners to provide reimbursement support services. Have direct interaction with the manufacturer client to provide case statuses and updates. Education Associates degree in related field or equivalent experience is required. What days & hours will the person work in this position? List training hours, if different. sliding start times between 7:30am - 9:30pm PST ending after 8.5 hours per day; 30 min lunch Company Description Pharmaceutical Strategies is a recruiting firm that specializes in the placement of professionals in pharmacies, hospitals, healthcare organizations and life sciences companies. We offer contract and direct hire services and work all over the U.S. Over the last 16 years, we have become a premier provider of talent.

Keywords: Pharmaceutical Strategies, High Point , Health Care Customer Service, Healthcare , High Point, North Carolina