Easy JobCustomer Service Specialist - Remote Work From Home
Healthesystems · Worldwide · Full-time · Remote
Healthesystems offers workplace flexibility with our Work-From-Home model, and a competitive compensation and benefits package including healthcare coverage, PTO, paid holidays, 401(k), company-provided life insurance/disability coverage, wellness options, and more.
States preferred: AL, AZ, FL, GA, ID, IN, MD, MS, MO, NC, OH, OK, PA, SC, TN, TX, UT, VA (we are unable to hire in every state)
HOURS: During training: 10:30am-7:15pm, Eastern Time, M-F. After training, regular shifts range between 9am-10pm, Eastern Time, M-F with possible weekends Sat/Sun
WORK FROM HOME REQUIREMENTS: To facilitate working from home, and as a requirement for this role, candidates must provide their own reliable, high speed internet access with sufficient bandwidth to execute all job functions. Additionally, candidates must provide a private workspace free from distraction and noise. Company laptop will be provided.
Summary: The role of the Customer Service Specialist is to build trusted relationships with our clients, their claimants and pharmacies by providing superior customer service to every caller.
Key Responsibilities: “To simplify complexities for each customer.”
• Works with Team Lead, Supervisor and Manager to resolve phone inquiries related to claims adjudication, eligibility verification, prior authorization and other Pharmacy Benefit Management, Ancillary Benefits Management and some Billing Verification Department functions as required. Utilizes strong verbal and written communication, listening and organizational skills as well as strong problem-solving and reasoning skills to accomplish this.
• Demonstrates ability to adhere to attendance, punctuality, and quality guidelines including a flexibility to work varying or rotating shifts, including overtime, weekends, and holidays as necessary.
• Demonstrates ability to read prescription drug names, comprehend simple instructions, and write short correspondence/memos as well as translate jargon and complex processes into si