Medical Pharmacy WFH

AppleOne Employment Services; Shreveport (LA); Remote; USD 31,000 - 36,000; Full time

Benefits offered by this job

Work from home

Full-time position

Paid biweekly

Job summary

AppleOne Employment Services seeks a Medical Pharmacy WFH Customer Service Representative for a full-time, work-from-home role supporting customers, pharmacies, and healthcare providers with prescription benefit questions. You will navigate multiple systems, solve problems, and contribute to a positive customer experience in a healthcare service setting.

The position offers full-time hours, 6:00 AM to 10:00 PM CST shifts, and training including 16 days of virtual classroom and 5 days of

Qualifications

• 1–2 years of customer service or related experience preferred.
• Ability to assist customers, pharmacies, and providers with prescription benefits and eligibility.

Responsibilities

• Handle 60–80 inbound calls daily in a professional manner.
• Assist customers, pharmacies, and providers with prescription benefits, eligibility, coverage, claims, authorizations, billing, and delivery questions.
• Research and resolve customer concerns using multiple systems and internal resources.
• Document interactions, updates, and resolutions clearly.
• Meet quality, productivity, attendance, and customer experience expectations in a remote call center.
• Maintain privacy, confidentiality, and compliance standards while working from home.

Skills

Customer service

Communication skills

Listening skills

Problem solving

Data entry accuracy

Learn new systems

Job description

Job Summary

We are seeking a Medical Pharmacy WFH Customer Service Representative for a full-time, work-from-home opportunity supporting customers, pharmacies and healthcare providers with prescription benefit questions. This direct hire role is ideal for a customer-focused professional who enjoys helping others, navigating multiple systems, and solving problems in a healthcare service environment.

Key Responsibilities

• Handle approximately 60 to 80 inbound customer service calls daily in a professional and helpful manner.
• Assist customers, pharmacies, and healthcare providers with prescription benefits, eligibility, coverage, claims, authorizations, billing, payments, and medication delivery questions.
• Research and resolve customer concerns using multiple computer systems and internal resources.
• Accurately document customer interactions, updates, and resolutions.
• Meet quality, productivity, attendance, and customer experience expectations in a remote call center environment.
• Maintain privacy, confidentiality, and compliance standards while working from home.

Compensation and Benefits

• Pay: $15.00 per hour.
• Full-time position.
• Direct hire opportunity.
• Paid twice per month.
• Work from home.
• Hours of operation are 6:00 AM to 10:00 PM CST.
• Open 7 days per week.
• Must be available to work a 40-hour schedule within operating hours.
• No part-time opportunities are available.
• Training includes 16 days of virtual classroom training and 5 days of live-call training.
• 100% attendance is required during training.
• Ongoing coaching and development are provided.

Required Qualifications and Skills

• Support inbound pharmacy customer service calls related to prescription benefits, billing, claims, coverage, authorizations, and eligibility.
• Research customer concerns across multiple systems and provide accurate, timely resolutions.
• Document interactions clearly while meeting quality and productivity goals.
• Maintain a secure, private, and distraction-free remote workspace that meets work-from-home requirements.
• 1 to 2 years of customer service, call center, administrative, healthcare, insurance, or related experience preferred for success in the role.
• Strong customer service, communication, listening, and problem-solving skills.
• Comfortable using multiple software programs, screens, and systems at the same time.
• Excellent computer navigation, multitasking, and data entry accuracy.
• Ability to learn new systems quickly and follow established processes.
• Reliable attendance and full commitment to the training schedule.
• Private room dedicated as a workspace with a door that closes and locks.
• Screen must be positioned away from windows.
• Wired internet connection is required, Wi-Fi is not permitted.
• Ethernet connection must be available in the workspace.
• Minimum internet speed of 50 Mbps download and 10 Mbps upload.
• Active cell phone service is required.
• Ability to maintain a distraction-free work environment and comply with privacy requirements.

Preferred Qualifications

• Previous call center experience.
• Previous healthcare, pharmacy, insurance, benefits, claims, billing, or administrative support experience.
• Experience handling high-volume inbound calls.
• Familiarity with prescription benefits, authorizations, eligibility, or healthcare customer service workflows.

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.