Introduction to blithequark
At blithequark, we are dedicated to providing high-quality healthcare services that make a meaningful difference in the lives of our members. As a leading healthcare organization, we strive to ensure that our members have access to all medically necessary prescription drugs, used in a cost-effective and safe manner. Our pharmacy services team plays a vital role in achieving this goal, and we are now seeking an experienced Customer Service Representative to join our team.
Job Summary
The Customer Service Representative, Pharmacy Services will be responsible for performing outreach attempts, handling inbound calls, and providing exceptional support to our members, providers, and pharmacies. This role requires a strong customer service background, excellent communication skills, and the ability to work independently in a fast-paced environment. As a key member of our pharmacy services team, you will be responsible for ensuring that our members receive the best possible care and support, while also maintaining compliance with all federal and state laws.
Key Responsibilities
- Handle and record inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards.
- Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information for our providers, members, technicians, and pharmacists.
- Provide clerical services and support to the pharmacist and technicians staff with day-to-day operations as delegated.
- Follow policies and procedures for appropriate call resolution or transfer to internal departments as required.
- Utilize appropriate resources to ensure members' contact information is current and up to date.
- Effectively communicate general Medicare and Medicaid plan benefits to existing members.
- Interact with appropriate primary care providers to ensure patient registry is current and accurate.
- Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
- Proactively identify ways to improve member relations.
Essential Qualifications
To be successful in this role, you will need:
- A High School Diploma or equivalency.
- 1-3 years of call center or customer service experience.
- Excellent customer service skills, with the ability to communicate effectively with members, providers, and pharmacies.
- Strong verbal and written skills, with excellent phone etiquette.
- Ability to multi-task applications while speaking with members.
- Proficient in using Microsoft Office programs (Word, Excel, MS Teams, and Outlook).
Preferred Qualifications
While not essential, the following qualifications are preferred:
- An Associate's Degree.
- 3-5 years of experience in the healthcare industry, with a focus on customer service or pharmacy services.
- Bilingual skills in Spanish, Mandarin, Korean, Yue Chinese, or Vietnamese.
Skills and Competencies
To excel in this role, you will need to possess:
- Strong communication and interpersonal skills, with the ability to build rapport with members, providers, and pharmacies.
- Excellent problem-solving skills, with the ability to resolve complex issues in a timely and effective manner.
- Strong organizational skills, with the ability to prioritize tasks and manage multiple projects simultaneously.
- Ability to work independently, with minimal supervision, in a fast-paced environment.
- Strong attention to detail, with the ability to maintain accurate records and reports.
Career Growth Opportunities and Learning Benefits
At blithequark, we are committed to the growth and development of our employees. As a Customer Service Representative, Pharmacy Services, you will have access to:
- Comprehensive training programs, designed to enhance your skills and knowledge in pharmacy services and customer service.
- Opportunities for career advancement, with a focus on promoting from within.
- A supportive and collaborative work environment, with a team of experienced professionals who are passionate about delivering exceptional patient care.
- Access to cutting-edge technology and systems, designed to streamline processes and improve efficiency.
Work Environment and Company Culture
At blithequark, we pride ourselves on our positive and inclusive company culture. As a remote employee, you will be part of a dynamic team that values:
- Collaboration and teamwork, with a focus on achieving common goals.
- Open communication, with regular feedback and coaching.
- Work-life balance, with flexible scheduling and remote work options.
- Diversity and inclusion, with a commitment to creating a welcoming and inclusive work environment.
Compensation, Perks, and Benefits
As a blithequark employee, you will be eligible for a competitive compensation package, including:
- A competitive salary, with opportunities for bonuses and incentives.
- Comprehensive benefits package, including medical, dental, and vision coverage.
- 401(k) matching program, with a generous company match.
- Paid time off, including vacation, sick leave, and holidays.
- Access to employee discounts and perks, including discounts on healthcare services and products.
Conclusion
If you are a motivated and customer-focused individual, with a passion for delivering exceptional patient care and support, we encourage you to apply for this exciting opportunity. As a Customer Service Representative, Pharmacy Services at blithequark, you will be part of a dynamic team that is dedicated to making a meaningful difference in the lives of our members. Don't hesitate to apply – we look forward to hearing from you!
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