Remote Member Care Advocate - Pharmacy Support

TrueScripts Management Services, LLC; Denver, Northern (CO, KY); Hybrid; USD 36,000 - 48,000; Full time

Job summary

TrueScripts Management Services, LLC. is hiring a fully remote Member Care Advocate for the Mountain time zone, servicing the Denver-Aurora-Lakewood area. The role focuses on high-volume phone support, helping members navigate prescription benefits and resolving complex inquiries.

Pharmacy Technician experience is highly preferred, with strong customer service skills and knowledge of prescription claims processing. This is a remote position requiring MT time-zone residence.

Qualifications

• Pharmacy Technician experience is strongly preferred.
• Customer service experience, ideally in a call center or pharmacy setting.
• Knowledge of prescription claims processing is highly helpful.
• High School Diploma or college degree in a related field preferred.
• Applicants must reside in the Mountain time zone.

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

Customer service

Communication

Analytical thinking

Problem-solving

Multi-tasking

Phone-based work

Education

High School Diploma or equivalent

Tools

Claims adjudication system

Job description

TrueScripts Management Services, LLC. is hiring a fully remote Member Care Advocate for the Mountain time zone, servicing the Denver-Aurora-Lakewood area. The role focuses on high-volume phone support, helping members navigate prescription benefits and resolving complex inquiries.

Pharmacy Technician experience is highly preferred, with strong customer service skills and knowledge of prescription claims processing. This is a remote position requiring MT time-zone residence.