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 passionate and skilled professionals is committed to delivering personalized solutions that exceed expectations and foster long-term relationships. If you are a compassionate and results-driven individual with a passion for helping others, we invite you to join our dynamic team as a Remote Call Center Customer Service Representative – Patient Care Advocate. Job Overview In this critical role, you will serve as the primary point of contact for handling customer service inquiries related to pharmacy benefits, resolving problems in a timely and professional manner, and assisting members in maximizing the use of their pharmacy distribution program. Your expertise and dedication will play a vital role in ensuring that our members receive the support they need to navigate our services with ease and confidence. As a valued member of our team, you will have the opportunity to work remotely and enjoy a flexible schedule that includes Monday to Friday, with weekends as needed. Key Responsibilities Handle inbound and outbound calls from members, providers, physicians, and internal and external clients, responding to questions and concerns related to pharmacy benefits in a timely and professional manner. Utilize computerized systems to gather information, respond to questions, and document issues and resolutions in a common database, ensuring accurate and complete records. Collaborate with other operational departments to research and resolve mail order and claims issues, responding to members within performance agreement guidelines and maintaining productivity standards and performance guarantees. Identify and escalate concerns received from patients and/or clients in a prudent manner, pursuing corrective action and expediting solutions to meet their needs. Maintain accurate and complete documentation of all inquiries to continuously improve the customer service process and reduce potential legal concerns. 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 ensure exceptional customer service experiences. Essential Qualifications 1 year of experience in a call center environment, preferably in a customer-facing role (Preferred) 1 year of experience in customer service, with a proven track record of delivering exceptional support and resolving complex issues (Preferred) High school diploma or equivalent required; associate's or bachelor's degree in a related field preferred Excellent communication and interpersonal skills, with the ability to empathize with members and provide personalized solutions Strong problem-solving and analytical skills, with the ability to research and resolve complex issues in a timely manner Proficiency in computerized systems and software applications, with the ability to learn and adapt to new technologies Ability to work in a fast-paced environment, prioritizing multiple tasks and managing time effectively to meet performance standards Preferred Qualifications Experience working in a healthcare or pharmacy benefits environment, with knowledge of relevant regulations and guidelines Certifications or training in customer service, call center operations, or a related field Bilingual or multilingual skills, with the ability to communicate effectively with diverse member populations Experience working in a remote or virtual environment, with the ability to self-motivate and manage time effectively Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our team members, providing opportunities for career advancement, professional development, and continuous learning. As a Remote Call Center Customer Service Representative – Patient Care Advocate, you will have access to: Comprehensive training programs, designed to enhance your skills and knowledge in customer service, call center operations, and pharmacy benefits Mentorship and coaching from experienced professionals, providing guidance and support to help you achieve your career goals Opportunities for career advancement, with potential paths in leadership, operations, or other areas of the organization Continuous learning and professional development, with access to workshops, webinars, and conferences to stay up-to-date on industry trends and best practices Work Environment and Company Culture At blithequark, we pride ourselves on our dynamic and supportive work environment, where team members are valued and empowered to make a difference. As a Remote Call Center Customer Service Representative – Patient Care Advocate, you will enjoy: A flexible and remote work arrangement, with the ability to work from the comfort of your own home A collaborative and inclusive team culture, with opportunities to connect with colleagues and build meaningful relationships A comprehensive benefits package, including medical, dental, and vision coverage, as well as retirement savings and paid time off A commitment to diversity, equity, and inclusion, with a focus on creating a welcoming and inclusive environment for all team members Compensation, Perks, and Benefits At blithequark, we offer a competitive compensation package, with a range of perks and benefits designed to support your well-being and success. As a Remote Call Center Customer Service Representative – Patient Care Advocate, you can expect: A competitive hourly rate, with opportunities for bonuses and incentives based on performance A comprehensive benefits package, including medical, dental, and vision coverage, as well as retirement savings and paid time off Access to exclusive discounts and perks, including employee discounts on blithequark products and services A recognition and rewards program, designed to acknowledge and celebrate your achievements and contributions to the team Conclusion If you are a motivated and compassionate individual with a passion for delivering exceptional customer service, we encourage you to apply for the Remote Call Center Customer Service Representative – Patient Care Advocate role at blithequark. With a commitment to growth, development, and inclusivity, we offer a dynamic and supportive work environment that will challenge and reward you. Join our team today and make a meaningful difference in the lives of our members, while advancing your career and achieving your goals. People with a criminal record are encouraged to apply. We are an equal opportunities employer, dedicated to creating a diverse and inclusive workplace that reflects the communities we serve. Apply for this job