Remote Customer Service Representative

PharmaCentra, LLC; United States; Remote; USD 42,000 - 54,000; Full time

Benefits offered by this job

DailyPay for daily wage access

Comprehensive benefits after 90 days

401(k) with company match after 1 year

Fully remote with flexible scheduling

Job summary

PharmaCentra LLC, a healthcare-focused provider of contact center solutions, is hiring a Full-Time Customer Service Representative for a fully remote role. You will handle clinical inquiries, assist with prescription benefits, and resolve claims processing issues while supporting patients, providers, and pharmacies.

Requirements include a 2-year related degree, about two years of relevant experience, strong communication skills, and proficiency with Microsoft Office.

Qualifications

• 2-year college degree preferred.
• Two years of applicable experience preferred. Pharmacy experience is a plus.
• Knowledge of claims processing and prior authorizations.
• Strong communication and customer service skills; attention to detail.
• Ability to multitask in a dynamic environment.
• Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook).

Responsibilities

• Answer calls, emails, and faxes from members, clients, pharmacies and physicians.
• Troubleshoot and resolve claim processing issues in the adjudication system.
• Communicate problems and concerns to management.
• Document relevant claims and prior authorizations in the system.
• Perform additional duties as assigned.

Skills

Claims processing

Prior authorizations

Analytical skills

Customer service

Communication

Attention to detail

Multitasking

Education

2-year college degree in related field

Tools

Microsoft Office

Excel

Word

PowerPoint

Outlook

Job description

About PharmaCentra LLC

PharmaCentra LLC, a leading provider of customizable contact center solutions in the healthcare industry, is seeking highly motivated and dedicated individuals to join our FULLY REMOTE team as a Customer Service Representative. Based in Georgia, our company is committed to delivering exceptional customer service to patients and healthcare providers. This is a fantastic opportunity to work in the medical field outside of a clinical setting, with the flexibility of a work-from-home position.

PharmaCentra LLC specializes in providing customizable contact center solutions to pharmaceutical companies, clinical research organizations, insurance providers, hospital groups, and other organizations in the healthcare industry. As a strategic partner, we are committed to delivering quality results while maintaining flexibility and accountability to our clients' evolving needs and the changing market conditions. Join our team and be part of our mission to make a positive impact in healthcare!

Position: Customer Service Representative (Full-Time)

Location: Fully Remote

Job Summary:

The Customer Service Representative is responsible for managing healthcare-related tasks related to communication with clients, members, pharmacies, and healthcare providers. This role involves addressing clinical inquiries, assisting members with prescription benefits, and resolving issues within the claims processing system.

Responsibilities:

• Answer phone calls, emails, and faxes from members, clients, pharmacies, and physicians; Assist with clinical calls.
• Troubleshoot and resolve claim processing issues in the claims adjudication system.
• Communicate problems and concerns to management.
• Document relevant claims and prior authorization information in the system.
• Perform additional duties as assigned.

Qualifications:

• Education: 2-year college degree in a related field preferred.
• Experience: Two years of applicable experience preferred. Pharmacy experience is a plus.
• Skills: Knowledge of claims processing, prior authorizations, strong analytical and problem-solving abilities, excellent communication and customer service skills, attention to detail, and ability to multitask in a dynamic environment.
• Technical Skills: Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook).
• Required Equipment: Windows 10/11 PC (Intel i5/AMD Ryzen 5+, 8 GB RAM, 256 GB SSD), webcam, noise-canceling headset (no Mac or Chromebooks)

Benefits:

• Competitive pay and growth opportunities.
• Fully remote with flexible scheduling.
• DailyPay for daily wage access.
• Comprehensive benefits (medical, dental, vision, disability, life insurance) after 90 days.
• Full-time Benefits after 1 Year: 401(k) with company match.

Work Schedule:

• Full-time, 40 hours/week
• Employees work 8-hour shifts Monday through Friday between 10 AM and 10 PM ET, and are required to work one weekend day per week between 9 AM and 9 PM ET.

Ready to Join Us?

Offer of employment is conditioned upon passing a background check.