Customer Service Representative

Job Title : Customer Service Representative – Prior Authorization (Temporary)

Location :

Remote (Must reside within 50 miles of one of the following locations :

• Mason, OH
• Norfolk, VA
• St. Louis, MO

Work Schedule :

Full-time : 40 hours / week

Monday–Friday, 8 : 00 AM–8 : 00 PM EST (set schedule determined at offer)

No weekends

Training schedule : Monday–Friday, 9 : 00 AM–5 : 30 PM EST

Important : Must be available to work on MLK Day (January 19, 2026). No additional time off permitted outside of designated holidays (12 / 25 and 1 / 1) unless under extenuating circumstances (e.g., FMLA / LOA).

Compensation :

Hourly Rate : $17.00 / hour

Job Type :

Temporary

Duration : December 8, 2025 – Q1 2026

Work Environment :

Primarily remote

Onsite presence required for onboarding, equipment pickup, and first / last week of training

Equipment provided : keyboard, mouse, two monitors, computer

Job Description :

As a Customer Service Representative, you will respond to inbound calls related to prior authorization inquiries. You'll work within various systems to resolve customer concerns, escalate issues appropriately, and ensure a positive member experience.

Key Responsibilities :

Respond to customer inquiries via phone and written correspondence regarding insurance benefits, eligibility, claims, and provider contracts

Document inquiry outcomes thoroughly for tracking and analysis

Operate PC / image station to extract and input data

Coordinate with internal departments to resolve customer issues

Conduct outbound calls within the ZipDrug business area

Maintain high performance standards (e.g., 95% quality score)

Follow scripts and SOPs during training and production

Required Qualifications :

High school diploma or equivalent

Previous experience in a customer service or automated call center environment

Strong oral, written, and interpersonal communication skills

Problem-solving and analytical skills

Preferred Qualifications :

Experience in inbound call centers

Familiarity with health insurance and prior authorization processes (preferred but not required)

Additional Details :

No driving required beyond standard commute

No credentialing required

No work in care centers, clinics, or member homes

No access to medication

No Level II fingerprint screening required

Hiring Process :

Group interviews via Microsoft Teams (camera required) : November 10–14, 2025 (dates TBD)

Equipment pickup required at designated location

6-week training program (first and last week onsite, remainder virtual)

Supervisor / SME support available onsite during training weeks