Customer Service Representative

AppleOne Employment Services; Addison (TX); Remote; USD 42,981,000 - 46,287,000; Full time

Job summary

AppleOne Employment Services is seeking a Pharmacy Customer Service Representative for a direct hire, remote inbound call center supporting members, pharmacies, and healthcare providers. You will assist callers with prescription benefits, pharmacy services, billing, eligibility, claims, and delivery questions, with training and company equipment provided.

This role offers a structured healthcare support environment, the chance to work from home, and opportunities to develop pharmacy benefits and

Qualifications

• Must be at least 18 years of age.
• Minimum 1 year of customer service experience required.
• Basic computer proficiency and ability to learn multiple systems.
• Must have a private, dedicated, distraction-free workspace with a lockable door or private space.
• Must have a hardwired Ethernet internet connection. WiFi is not accepted.
• Minimum internet speeds required: 50 Mbps download and 10 Mbps upload.

Responsibilities

• Handle high-volume inbound calls from members, pharmacies, and healthcare providers.
• Assist callers with prescription benefits, home-delivery medications, billing, payments, eligibility, coverage, claims, authorizations, and delivery questions.
• Research and resolve customer issues using multiple computer systems and internal resources.
• Accurately document customer interactions, call details, follow-up needs, and resolution steps.
• Use active listening, probing questions, and problem-solving skills to support first-call resolution.
• Meet established expectations for quality, productivity, attendance, and customer experience.

Skills

Customer service

Verbal communication

Active listening

Problem solving

Education

High School Diploma/GED

Tools

Microsoft Word

Microsoft Excel

Job description

Job Summary

We are seeking a Pharmacy Customer Service Representative for a direct hire, remote inbound call center opportunity supporting members, pharmacies, and healthcare providers. This role is ideal for a dependable customer service professional who enjoys helping people, solving problems, and working in a structured healthcare support environment.

As a Pharmacy Customer Service Representative, you will assist callers with prescription benefits, pharmacy services, billing, eligibility, claims, authorizations, and medication delivery questions. You will receive structured training, company-provided equipment, and ongoing support from leadership to help you succeed in a fast-paced customer care setting. This is a great opportunity to build experience in pharmacy benefits, healthcare customer service, and call center operations while working remotely.

Key Responsibilities

• Handle high-volume inbound calls from members, pharmacies, and healthcare providers.
• Assist callers with prescription benefits, home-delivery medications, billing, payments, eligibility, coverage, claims, authorizations, and delivery questions.
• Research and resolve customer issues using multiple computer systems and internal resources.
• Accurately document customer interactions, call details, follow-up needs, and resolution steps.
• Use active listening, probing questions, and problem-solving skills to support first-call resolution.
• Meet established expectations for quality, productivity, attendance, and customer experience.

Compensation and Benefits

• Pay rate: $15 per hour.
• Job type: Direct hire.
• Work environment: Remote.
• Schedule: Monday through Sunday, with shifts scheduled between 6:00 AM and 10:00 PM Central Time.
• Weekend schedule availability: 6:00 AM to 9:00 PM Central Time.
• Shift length: 8.5 hours, including a 30-minute unpaid lunch.
• Training: 3 weeks of training plus 1 week of nesting.
• Equipment: Company-provided equipment.
• Start date: October 12.

Required Qualifications and Skills

• Support inbound pharmacy customer service calls in a high-volume call center environment.
• Research prescription benefit, billing, eligibility, claims, authorization, and medication delivery questions.
• Navigate multiple systems to document interactions and resolve customer issues.
• Maintain service quality, productivity, attendance, and customer satisfaction standards.
• Must be at least 18 years of age.
• High School Diploma, GED, or equivalent required.
• Minimum 1 year of customer service experience required.
• Basic computer proficiency and ability to learn multiple systems.
• Basic Microsoft Word and Excel skills.
• Strong verbal communication, active listening, and problem-solving skills.
• Ability to work in a fast-paced, high-volume environment.
• Flexible availability to work evenings, weekends, holidays, and occasional overtime.
• Must have a private, dedicated, distraction-free workspace with a lockable door or private space.
• Must have a hardwired Ethernet internet connection. WiFi is not accepted.
• Minimum internet speeds required: 50 Mbps download and 10 Mbps upload.
• 5G, hotspots, and satellite internet are not supported.
• Must remain on camera during working hours.
• Must be able to complete an online assessment, background check, and 4-panel drug test.

Preferred Qualifications

• Previous call center experience preferred.
• Previous healthcare, pharmacy, insurance, benefits, or claims support experience is helpful.
• Experience handling high-volume inbound calls and working toward first-call resolution is a plus.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.