Remote Healthcare Support Specialist (PBM)

Judi Health, LLC; Jersey City (NJ); Remote; USD 30,000 - 41,000; Full time

Job summary

Judi Health is seeking a remote Customer Support Specialist to triage calls from members and pharmacies with professional etiquette. You will support call center staff, document concerns, and escalate to the Operations Team to ensure timely, compliant resolutions.

Ideal candidates have 2+ years in customer service, PBM or health care, and Spanish bilingual skills. Medicare experience is a plus. The role offers a base hourly rate of $26 and emphasizes HIPAA compliance and quality service.

Qualifications

• High school diploma or the equivalent; Associates or Bachelor’s degree preferred.
• 2+ years of customer service, call center, and/or health care experience preferred.
• 2+ years of PBM or related Health Care experience required.
• Bilingual Spanish highly preferred.
• Medicare experience preferred.

Responsibilities

• Efficiently triage incoming phone calls with professional etiquette from members and pharmacies.
• Provide support for call center staff, including other technicians and CSRs.
• Identify, document, and escalate member and pharmacy concerns to the Operations Team.
• Communicate issues and solutions to members, pharmacies, and internal stakeholders.
• Achieve first-call resolution and de-escalate customer concerns.
• Ensure customer satisfaction with extraordinary care in a fast-paced environment.
• Adhere to HIPAA guidelines and company policies.
• Support Fraud, Waste, and Abuse reviews by assessing claims information.
• Utilize multiple systems and multitask with up to 2 monitors.
• Maintain strong attendance and meet departmental goals.

Skills

Customer service

Call center

Spanish bilingual

Education

Associate or Bachelor's degree preferred

Job description

Judi Health is seeking a remote Customer Support Specialist to triage calls from members and pharmacies with professional etiquette. You will support call center staff, document concerns, and escalate to the Operations Team to ensure timely, compliant resolutions.

Ideal candidates have 2+ years in customer service, PBM or health care, and Spanish bilingual skills. Medicare experience is a plus. The role offers a base hourly rate of $26 and emphasizes HIPAA compliance and quality service.