Remote Customer Service Representative

Job Summary

A company is looking for a Remote Customer Service Representative.

Key Responsibilities

• Answer phone calls, emails, and faxes from members, clients, pharmacies, and physicians
• Assist Member Care Representatives with clinical calls
• Troubleshoot and resolve claim processing issues in the claims adjudication system

Required Qualifications

• 2-year college degree in a related field preferred
• Two 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