Remote Rx Claims & Member Services Specialist

Southern Scripts; United States; Remote; USD 21,000 - 28,000; Full time

Job summary

Southern Scripts is seeking a Remote Member Services Agent to provide excellent service to internal and external customers, leveraging knowledge of Rx claims processing and HIPAA obligations. You will document inquiries, follow up on issues, and coordinate with departments to resolve problems.

The role emphasizes strong computer skills, careful information handling, and effective communication with supervisors and teammates to meet quality standards and customer satisfaction.

Qualifications

• Experience delivering customer service via phone and email.
• Ability to follow HIPAA guidelines.
• Strong communication and time-management skills.
• Familiarity with using computers and software for data entry.
• Ability to handle inquiries and resolve issues.

Responsibilities

• Provide effective customer service to internal and external customers.
• Refer unresolved grievances to appropriate departments.
• Review Rx insurance policy terms to determine coverage.
• Document customer interactions and actions taken.
• Follow-up to ensure problems are resolved.
• Adhere to HIPAA training requirements.

Skills

Interacting with Computers

Customer Service

Communication

Time Management

Problem Solving

Teamwork

Education

High School or equivalent

Job description

Southern Scripts is seeking a Remote Member Services Agent to provide excellent service to internal and external customers, leveraging knowledge of Rx claims processing and HIPAA obligations. You will document inquiries, follow up on issues, and coordinate with departments to resolve problems.

The role emphasizes strong computer skills, careful information handling, and effective communication with supervisors and teammates to meet quality standards and customer satisfaction.