Entry Level Customer Service Representative

Job Summary

To support a growing healthcare contact center, the full-time remote Entry Level Customer Service Representative will manage communication with clients, members, pharmacies, and healthcare providers, addressing clinical inquiries and resolving claims processing issues.

Key responsibilities:

• Answer phone calls, emails, and faxes from members, clients, pharmacies, and physicians
• Assist Member Care Representatives with clinical calls and troubleshoot claim processing issues
• Document relevant claims and prior authorization information in the system

Required qualifications:

• High School Diploma or equivalent
• 1-2 years of applicable experience preferred; pharmacy experience is a plus
• Knowledge of claims processing and prior authorizations
• Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook)
• Required equipment includes a Windows 10/11 PC, webcam, and noise-canceling headset