Customer Care Representative (Temp to Hire)

Capital Rx Inc.; United States; On-site; USD 30,000 - 42,000; Full time

Job summary

Judi Health is seeking a customer support specialist to triage calls from members and pharmacies, ensuring quality care and prompt resolution. You will assist call center staff, document issues, and escalate to the Operations Team to improve service levels.

This remote, US-based role offers a $26/hour wage with a strong emphasis on HIPAA compliance and customer satisfaction. Training is Monday–Friday, 9:00am–5:30pm ET, with opportunities to grow within the privacy-conscious environment.

Qualifications

• 2+ years of customer service, call center, and/or health care experience preferred.
• Demonstrated strong written and verbal communication skills.
• Bilingual Spanish highly preferred.

Responsibilities

• Efficiently triage incoming calls from members and pharmacies with professional etiquette.
• Provide support for call center staff and other technicians.
• Document and escalate member and pharmacy concerns to the Operations Team.

Skills

Customer service

Written communication

Verbal communication

Education

High school diploma

Associates or Bachelor's preferred

Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health

Position Responsibilities:

• Efficiently triage incoming phone calls with professional phone etiquette from members and pharmacies with minimal support. Ask probing questions to identify and resolve all issues and address concerns promptly
• Provide support for call center staff, including other technicians and customer service representatives
• Identify, accurately document, and elevate member and pharmacy concerns to the appropriate internal team including various members of the Operations Team
• Effectively communicate issues and solutions to members, pharmacies, and relevant internal stakeholders to ensure customers receive quality care and that the resolution meets all health and safety standards
• Communicate effectively with internal and external customers to provide first-call resolution and de-escalate customer concerns
• Ensure customer satisfaction, extraordinary customer care, and quality resolution with genuine compassion in a fast-paced, environment
• Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies
• Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to appropriate internal staff
• Work with multiple systems, up to 2 monitors, and multitask in a fast-paced environment
• Self-starter who displays a positive attitude, strong work ethic, and excellent attendance
• Meet all departmental goals including schedule adherence, attendance, and quality monitoring
• Standard hours for training: Monday thru Friday, 9:00am - 5:30pm, Eastern
• Perform other customer support duties as assigned
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Required Qualifications:

• High school diploma or the equivalent; Associates or Bachelor's degree preferred
• 2+ years of customer service, call center, and/or health care experience with a passion for building customer loyalty through exceptional listening, relationship building, and strong written and verbal communication preferred
• 2+ years of PBM or related Health Care experience required
• Ability to work independently with minimal supervision, stay productive in a remote, high-volume, fast-paced, metric-driven call center environment
• Bilingual Spanish highly preferred
• Medicare experience preferred

Hourly Rate: $26.00

This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.

Remote, US Salary Range

$26 — $26 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of noncompliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.