Bilingual Healthcare Customer Service Rep (Part-Time)

Rxadvance Corporation; Tampa (FL); On-site; USD 28,000 - 30,000; Part time

Job summary

RxAdvance, a healthcare services provider in Tampa, Florida, seeks a part-time Consumer Services Representative to handle member, pharmacy, and provider inquiries by phone and email. You will triage calls, document interactions, and work in a high-volume environment.

The ideal candidate has 1–3 years of customer service and call center experience, bilingual English/Spanish, and basic computer skills including MS Office.

Qualifications

• 1–3 years of Customer Service experience required.
• 1–3 years of Call Center or healthcare experience preferred.
• Medicare experience strongly preferred.

Responsibilities

• Triage phone calls and written inquiries from members, pharmacy personnel, and providers.
• Maintain accurate and complete documentation of all inquiries for continuous improvement.
• Effectively communicate issues and resolutions to members, pharmacy personnel, providers, and appropriate internal staff.
• Follow all internal policies and procedures to ensure consistency, accuracy, and operational effectiveness.
• Use judgment and problem-solving skills to resolve members, pharmacy personnel, and providers concerns.
• Monitor ticketing system and respond to inquiries internal and external to RxAdvance.
• Assist in supplying suggestions and input into training manuals and training documentation.
• Monitor System Dashboard for accuracy and to verify documentation process is followed.
• Assist in peer level training and call observation of new hires.
• Keep up to date with industry trends and regulatory changes in the Health Care industry.
• Understand where to find and how to utilize health insurance benefit details for serviced plans, including but not limited to Commercial, Medicare, and Medicaid payers.
• Intake required information and complete process for Prior Authorization call back requests.
• Follow all external regulatory, state, federal, and credentialing standards as outlined and/or trained by Compliance.
• If a complaint is received, fills out the Complaint Form and follows Complaint and Grievance Policy.

Skills

Bilingual English/Spanish

Customer Service experience

Call Center experience

Healthcare experience

MS Office knowledge

Education

High School Diploma or Equivalent

Associate's or Bachelor's Degree preferred

Tools

Microsoft Office

Job description

RxAdvance, a healthcare services provider in Tampa, Florida, seeks a part-time Consumer Services Representative to handle member, pharmacy, and provider inquiries by phone and email. You will triage calls, document interactions, and work in a high-volume environment.

The ideal candidate has 1–3 years of customer service and call center experience, bilingual English/Spanish, and basic computer skills including MS Office.