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**Experienced Customer Service Representative - Remote Work Opportunity in Healthcare Industry**

Remote, USA Full-time Posted 2025-11-03

Join Our Team as a Full-Time Customer Service Representative and Make a Difference in Healthcare

We are seeking a highly skilled and compassionate Customer Service Representative to join our team on a full-time, remote basis. As a key member of our customer service team, you will have the opportunity to work from the comfort of your own home and provide exceptional service to our clients. Our company is committed to delivering high-quality healthcare services, and we are looking for individuals who share our passion for helping others.

About Our Company and Industry

Our company is a leading provider of healthcare services, dedicated to improving the health and well-being of our members. We operate in a fast-paced and dynamic environment, and our customer service team plays a critical role in ensuring that our clients receive the support they need. As a Customer Service Representative, you will be an integral part of our team, working closely with our clients to resolve their issues and provide them with the information they need.

Key Responsibilities

  • Respond to Inbound Calls: Answer inbound calls from clients regarding benefit eligibility questions, prescription status, and other healthcare-related inquiries.
  • Provide Personalized Support: Guide and inform clients on their prescription benefits, plan usage, formulary, fees, and status of orders and claims.
  • Document Client Information: Listen attentively to client concerns, document required information in computer systems, and respond to client inquiries.
  • Resolve Issues: Identify and resolve client issues, correspond with clients, pharmacies, and physicians regarding prescription orders and reorders.
  • Make Outgoing Calls: Make outbound calls to clients regarding prescription orders and remittance concerns.
  • Navigate Multiple Data Banks: Research facility concerns related to member prescriptions and pharmacy benefits across multiple data banks, requiring strong computer navigation skills and the ability to engage with clients compassionately.

Essential Qualifications

  • Education: High School Diploma or Equivalent (GED or higher) or equivalent work experience.
  • Customer Service Experience: At least 1 year of customer service experience, including providing service over the phone.
  • Computer Skills: Proficiency with Windows PC applications, including Microsoft Office Word and Excel, and the ability to navigate and learn new computer systems.
  • Flexibility: Ability to work any 8-hour shift during our typical business hours of 5:00 am - 10:00 pm local time, Sunday - Sunday.

Preferred Qualifications

  • Contact Center Experience: Previous experience working in a contact center environment.
  • Client Service Experience: Additional experience in client service, preferably in a healthcare or insurance setting.
  • Digital Literacy: Familiarity with digital systems and platforms, including online chat, email, and other digital communication tools.
  • Healthcare Knowledge: Understanding of healthcare terminology, medical plan records, or benefit program design.

Skills and Competencies

  • Communication: Excellent verbal and written communication skills, with the ability to engage with clients in a compassionate and professional manner.
  • Problem-Solving: Strong problem-solving skills, with the ability to analyze complex issues and provide effective solutions.
  • Time Management: Ability to manage time effectively, prioritize tasks, and meet productivity and quality standards.
  • Adaptability: Flexibility and adaptability in a fast-paced and dynamic environment.

Career Growth Opportunities and Learning Benefits

We are committed to the growth and development of our employees. As a Customer Service Representative, you will have opportunities to:

  • Develop New Skills: Enhance your skills and knowledge in areas such as customer service, communication, and problem-solving.
  • Advance in Your Career: Take advantage of opportunities for career advancement within our company.
  • Participate in Training: Participate in comprehensive training programs to ensure your success in your role.

Work Environment and Company Culture

We offer a supportive and dynamic work environment that values:

  • Remote Work: The opportunity to work from home and enjoy a better work-life balance.
  • Collaboration: A culture of collaboration and teamwork, with opportunities to connect with colleagues and leaders.
  • Recognition: Recognition and rewards for outstanding performance and contributions.

Compensation, Perks, and Benefits

We offer a comprehensive compensation package that includes:

  • Competitive Salary: A competitive salary range for this role.
  • Benefits: Comprehensive benefits package, including medical, dental, and vision coverage.
  • Perks: Additional perks and benefits, such as paid time off, holidays, and employee discounts.

How to Apply

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

As a valued member of our team, you will have the opportunity to make a difference in the lives of our clients and contribute to our mission of improving healthcare. Apply now and join our team of dedicated and passionate professionals!

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