Remote Member Services Specialist – Rx Claims

Southern Scripts; Natchitoches (LA); Remote; USD 19,000 - 28,000; Part time

Job summary

Liviniti, LLC (Remote) seeks a Part-time Member Services Agent to deliver courteous, accurate assistance to customers, leveraging deep knowledge of company programs. You will document interactions, follow up on issues, and coordinate with internal teams to resolve claims efficiently.

Responsibilities include handling inquiries about Rx claims, maintaining records, ensuring HIPAA compliance, and participating in required training. Flexible hours apply, with no travel required.

Qualifications

• High school diploma or equivalent required.
• Previous customer service experience preferred.
• Strong communication and problem-solving skills.

Responsibilities

• Provide excellent customer service to internal and external customers.
• Maintain in-depth knowledge of company products and programs.
• Communicate effectively with team members in the customer service department.
• Record detailed records of customer interactions and transactions.
• Follow up to ensure issues are resolved.
• Refer unresolved grievances to designated departments.
• Review Rx insurance policy terms for claims.
• Report HIPAA violations to Compliance Officer or HR.
• Complete required HIPAA training.
• Flexibility for duties to change as needed.

Skills

Interacting with Computers

Communicating with Supervisors

Getting Information

External Communication

Processing Information

Conflict Resolution

Time Management

Teamwork

Multitasking

Customer Focus

Education

High School or equivalent

Job description

Liviniti, LLC (Remote) seeks a Part-time Member Services Agent to deliver courteous, accurate assistance to customers, leveraging deep knowledge of company programs. You will document interactions, follow up on issues, and coordinate with internal teams to resolve claims efficiently.

Responsibilities include handling inquiries about Rx claims, maintaining records, ensuring HIPAA compliance, and participating in required training. Flexible hours apply, with no travel required.