Customer Service Representative - Remote

Job Description

Job Description

Who We Are :

EmpiRx Health is the leading clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care while substantially reducing costs for plan sponsors.

What We Do :

We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do and our population health solution delivers tailored strategies for our clients.

Who We're Looking For :

EmpiRx Health is experiencing unprecedented growth, and we are seeking a highly skilled and experienced Customer Service Representative.

In this critical role, you will be instrumental in ensuring exceptional customer service and satisfaction. You bring excellent communication skills, a customer-centric approach, patience and empathy, problem-solving abilities, and multitasking skills.

You possess a strong work ethic, pay attention to detail, and compliance awareness, ensuring that customer interactions are compliant and secure.

By bringing these qualities and skills, you will contribute to our team's success and ensure a positive experience for our valued customers.

What You'll Do :

• Receive and respond to all customer inquiries via phone, fax, mail, e-mail, etc., in a 24x7 (365) call center environment with rotating shifts.
• Leverage the appropriate system and / or other reference materials to complete the verification process.
• Initiate the investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.).
• Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental processes.
• Accurately document customer inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow-up.
• Follow up on unresolved issues promptly, escalating call trends to management.
• Deliver a five-star customer service experience while meeting quality and production standards.

What You Need :

• 1-2 years of related experience
• Reliable Internet and phone for off-hour shifts
• Clear and effective verbal communication skills
• Strong listening skills to understand customer needs and concerns
• The ability to empathize with customers and demonstrate patience
• Calm and composed demeanor while handling customer issues
• Flexibility to adapt to changes in procedures, products, or requirements
• Pharmacy Technician experience preferred

Why Join Us :

• EmpiRx Health is on an extraordinary journey where excellence meets innovation.
• We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
• You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
• We offer a generous and competitive benefits package to include, flexible PTO, 401k match, 10% bonus potential, access to LinkedIn Learning and more
• You will share in the company's success through our discretionary bonus program.

EmpiRx Health is an Equal Opportunity Employer

At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart.

We're not just breaking down barriers but actively erasing them to create an environment where opportunity knows no bounds.

In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.

Your career at EmpiRx Health awaits join us in shaping the future of excellence in healthcare.

Careers - EmpiRx Health

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