Experienced Remote Call Center Customer Service Representative – Patient Care Advocate for Pharmacy Benefits and Distribution Programs

Introduction to blithequark At blithequark, we are dedicated to providing exceptional customer service experiences that make a meaningful difference in the lives of our members, providers, physicians, and internal and external clients. As a leader in the healthcare industry, we understand the importance of timely and effective support, especially when it comes to pharmacy benefits and distribution programs. Our team of patient care advocates plays a vital role in ensuring that our clients receive the assistance they need to navigate our services with ease and confidence. We are now seeking an experienced and compassionate Remote Call Center Customer Service Representative to join our team and contribute to our mission of delivering outstanding support and care. Job Overview As a Remote Call Center Customer Service Representative at blithequark, you will be responsible for handling customer service inquiries from various stakeholders, including members, providers, physicians, and internal and external clients. Your primary focus will be on addressing questions and concerns related to pharmacy benefits, researching and resolving problems in a timely manner, and assisting members in understanding and maximizing the use of their pharmacy distribution program. You will utilize our computerized system to gather information, respond to questions, and document issues and resolutions in a common database. Your ability to escalate issues as necessary and maintain accurate and complete documentation will be essential in continuously improving our customer service process and reducing potential legal concerns. Key Responsibilities Handle inbound and outbound calls from members, providers, and physicians, answering questions related to pharmacy benefits while maintaining productivity standards and performance guarantees. Work collaboratively with other operational departments to research and resolve mail order and claims issues, responding to members within performance agreement guidelines. Maintain accurate and complete documentation of all inquiries to continuously improve the customer service process and reduce potential legal concerns. Identify and escalate concerns received from patients and/or clients in a prudent manner, ensuring that corrective action can be pursued and expedited to address their needs. Adhere to quality and production standards, complying with all applicable blithequark, state, and federal safety regulations and guidelines. Perform other duties as needed to support the team and contribute to the overall success of blithequark. Essential Qualifications To be successful in this role, you will need to possess the following essential qualifications: At least 1 year of experience in a call center environment, preferably in a customer-facing role. At least 1 year of experience in customer service, with a proven track record of providing exceptional support and care to clients. Strong communication and interpersonal skills, with the ability to effectively interact with diverse stakeholders, including members, providers, physicians, and internal and external clients. Excellent problem-solving and analytical skills, with the ability to research and resolve complex issues in a timely and efficient manner. Proficiency in using computerized systems to gather information, respond to questions, and document issues and resolutions. Ability to work in a fast-paced environment, maintaining productivity standards and performance guarantees while ensuring high-quality support and care to clients. Preferred Qualifications While not required, the following preferred qualifications will be considered an asset: Experience working in the healthcare industry, preferably in a pharmacy benefits or distribution program context. Knowledge of pharmacy benefits and distribution programs, including mail order and claims processes. Experience working with diverse stakeholders, including members, providers, physicians, and internal and external clients. Proficiency in multiple languages, with the ability to provide support and care to clients with diverse linguistic and cultural backgrounds. Skills and Competencies To excel in this role, you will need to possess the following skills and competencies: Communication skills: Excellent verbal and written communication skills, with the ability to effectively interact with diverse stakeholders and provide clear and concise support and care. Problem-solving skills: Strong analytical and problem-solving skills, with the ability to research and resolve complex issues in a timely and efficient manner. Interpersonal skills: Excellent interpersonal skills, with the ability to build strong relationships with clients, colleagues, and other stakeholders. Adaptability: Ability to work in a fast-paced environment, adapting to changing priorities and deadlines while maintaining productivity standards and performance guarantees. Technical skills: Proficiency in using computerized systems to gather information, respond to questions, and document issues and resolutions. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to supporting the growth and development of our employees. As a Remote Call Center Customer Service Representative, you will have access to a range of career growth opportunities and learning benefits, including: Comprehensive training programs to enhance your skills and knowledge in customer service, pharmacy benefits, and distribution programs. Ongoing coaching and feedback to support your professional development and growth. Opportunities for advancement within the company, including leadership roles and specialized positions. Access to a range of learning resources, including online courses, workshops, and conferences. Work Environment and Company Culture At blithequark, we pride ourselves on our positive and supportive work environment, which is built on a foundation of respect, empathy, and inclusivity. As a Remote Call Center Customer Service Representative, you will be part of a dynamic and diverse team that is passionate about delivering exceptional support and care to our clients. Our company culture is characterized by: A commitment to excellence and quality in everything we do. A focus on teamwork and collaboration, with a emphasis on building strong relationships with colleagues and stakeholders. A culture of continuous learning and growth, with opportunities for professional development and advancement. A dedication to diversity, equity, and inclusion, with a commitment to creating a welcoming and inclusive environment for all employees. Compensation, Perks, and Benefits At blithequark, we offer a competitive compensation package, including a range of perks and benefits, such as: A competitive salary and bonus structure, with opportunities for advancement and growth. A comprehensive benefits package, including health, dental, and vision insurance, as well as retirement savings and paid time off. A range of perks, including flexible working hours, remote work options, and access to a range of learning resources and professional development opportunities. A positive and supportive work environment, with a focus on teamwork, collaboration, and continuous learning and growth. Conclusion If you are a motivated and compassionate individual who is passionate about delivering exceptional support and care to clients, we encourage you to apply for the Remote Call Center Customer Service Representative role at blithequark. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our clients, while also growing and developing your skills and career. Don't miss out on this exciting opportunity to join a dynamic and diverse team that is dedicated to excellence and quality in everything we do. Apply now to take the first step towards a rewarding and challenging career at blithequark. Apply for this job