Member Customer Service Representative


Job Description


o    Answer and respond to calls and emails
o    Resolve pharmacy issues from members, providers and pharmacies 
o    Respond to routine inquiries on multiple products from members, providers, pharmacies, and employer groups 
o    Research required information using available resources 
o    Place outgoing phone calls when business ventures warrant
o    Route calls to the appropriate resource
o    Document all call information according to standard operating procedures 
o    Enter data accurately and timely 
o    Maintain a positive and professional demeanor at all times
o    Utilize multiple company database programs for accessing member information
o    Achieve individual performance goals for productivity and quality
o    Maintain confidentiality of patient and proprietary information
o    Other duties as assigned

Basic Qualifications

o    High school diploma or GED
o    Customer service or inbound call center experience
o    Healthcare knowledge and/or experience
o    Proficient in Microsoft Office and industry-related software programs
o    Effective verbal and written communication skills 
o    Excellent interpersonal skills with a strong customer focus
o    Ability to work with peers in a team effort