Remote Healthcare Prescription Coverage Advocate

ProPivotal; Braintree (MA); Hybrid; USD 23,000 - 33,000; Full time

Benefits offered by this job

Temp-to-perm opportunity

Mostly remote after month

On-site team-building days

Paid training

Job summary

ProPivotal in Massachusetts is seeking a Healthcare Call Center Associate to support prescription approvals for insured patients. The role starts with processing inbound faxes and progresses to handling provider inquiries via phone in a call center environment.

Training occurs on-site with paid training during the first month, followed by a mostly remote work arrangement with monthly on-site team-building days.

Qualifications

• 6+ months of customer service experience in healthcare, pharmacy, or insurance-related roles.
• Strong verbal communication skills to interact professionally with healthcare providers.
• High attention to detail for verifying prescription and patient information accurately.
• Ability to attend on-site training just south of Boston, MA in Hingham, MA.

Responsibilities

• Review inbound faxes from healthcare providers regarding prescription coverage requests.
• Verify that all required information (provider details, patient data, medication dosage) is complete.
• Accurately enter prescription request details into the system for coverage determination.
• Handle inbound phone calls from providers to collect and verify prescription information (≈20 calls/day).
• Maintain professionalism and clear communication while assisting providers.
• Ensure accuracy by following structured processes and reviewing member information for discrepancies.

Skills

Customer service

Verbal communication

Attention to detail

Job description

ProPivotal in Massachusetts is seeking a Healthcare Call Center Associate to support prescription approvals for insured patients. The role starts with processing inbound faxes and progresses to handling provider inquiries via phone in a call center environment.

Training occurs on-site with paid training during the first month, followed by a mostly remote work arrangement with monthly on-site team-building days.