Remote Healthcare Call Center Specialist

Amerit Consulting; California; À distance; USD 25 000 - 29 000; Plein temps

Résumé du poste

Amerit Consulting is seeking a Call Center Representative for a major PBM client. The role is remote with California residency required, on a 9-month contract with potential for extension and possible full-time conversion.

You will assist members, answer questions about pharmacy benefits and billing, document interactions, and escalate issues as needed in a high-volume environment. Training lasts six weeks (8 AM–5 PM PT) with paid attendance, and weekend shifts are required.

Qualifications

• High school diploma or GED required.
• 0–2 years of customer service experience.
• High-volume call center/customer service experience required.
• Healthcare or pharmacy call center experience preferred.
• Proficient with MS Outlook and data entry applications.

Responsabilités

• Interact with customers to provide information and resolve inquiries.
• Resolve billing complaints by processing adjustments or refunds.
• Respond to inquiries regarding pharmacy benefits, claims, eligibility, and billing.
• Contact customers regarding claim investigation results and planned adjustments.
• Escalate unresolved concerns to appropriate departments.
• Accurately document customer interactions and resolutions.
• Navigate multiple computer systems while maintaining productivity and accuracy.
• Meet quality, productivity, and customer satisfaction targets in a high‑volume call center environment.

Connaissances

Verbal communication

Written communication

Critical thinking

Problem solving

Conflict resolution

Remote work

PHI confidentiality

Independent work

Formation

High school diploma or GED

Outils

MS Outlook

Data entry apps

Multiple systems

Description du poste

Amerit Consulting is seeking a Call Center Representative for a major PBM client. The role is remote with California residency required, on a 9-month contract with potential for extension and possible full-time conversion.

You will assist members, answer questions about pharmacy benefits and billing, document interactions, and escalate issues as needed in a high-volume environment. Training lasts six weeks (8 AM–5 PM PT) with paid attendance, and weekend shifts are required.