Member Care Specialist - Hybrid (Phone Support)

TrueScripts Management Services; Washington (IN); Hybrid; USD 40,000 - 55,000; Full time

Job summary

TrueScripts Management Services in Washington, IN is seeking a Member Care Advocate to handle in-house and external communications with clients and members. As a phone-based advocate, you will spend most of your day engaging with callers, responding to inquiries, and helping members navigate their prescription benefits.

This role provides administrative support to Member Care leadership, Client Success, and Executive teams.

Qualifications

• Pharmacy Technician experience strongly preferred.
• Comfort and stamina for being on the phone the majority of the workday.
• Proven customer service experience, ideally in a call center or pharmacy setting.
• Knowledge of prescription claims processing is highly helpful.
• Analytical thinking, attention to detail, and strong communication.

Responsibilities

• Manage a high volume of daily inbound and outbound phone calls and emails from members, clients, pharmacies, and physician offices.
• Troubleshoot claim processing problems and inquiries directly in the claims adjudication system while maintaining an engaging phone presence.
• Respond promptly to website inquiries.
• Become proficient in all aspects of the claims adjudication system.
• Communicate recurring problems and systemic concerns to the manager.

Skills

Pharmacy Tech

Phone support

Customer service

Claims processing

Analytical thinking

Problem solving

Multi-tasking

Education

High School Diploma or college degree preferred

Tools

MS Office

Job description

TrueScripts Management Services in Washington, IN is seeking a Member Care Advocate to handle in-house and external communications with clients and members. As a phone-based advocate, you will spend most of your day engaging with callers, responding to inquiries, and helping members navigate their prescription benefits.

This role provides administrative support to Member Care leadership, Client Success, and Executive teams.