Remote Call Center Customer Service Representative

Remote, USA Full-time Posted 2025-07-26

PATIENT CARE ADVOCATE (aka PATIENT CLIENT ADVOCATE). Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond... to questions. Document issues and resolutions in a common database. Escalate issues as necessary.
ESSENTIAL FUNCTIONS: - Handle inbound and outbound member, provider and physician calls. - Answer questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable. - Work with other operational departments to research and resolve mail order and claims issues and respond to members within performance agreement guidelines. - Maintain accurate and complete documentation of all inquiries in order to continuously improve the customer service process and reduce potential legal concerns. - Identify and escalate in a prudent manner, concerns received from patients and/or clients so that corrective action can be pursued and expedited to take care of their needs. - Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety - Other duties as needed
Job Type: Full-time
Schedule:

Monday to Friday
Weekends as needed

People with a criminal record are encouraged to apply
Experience:

Call center: 1 year (Preferred)
Customer service: 1 year (Preferred)

Work Location: Remote

Apply Job!

Apply for the Job

Remote Call Center Customer Service Representative

Similar Remote Jobs

Remote Call Center Customer Service Representative

Amex Virtual Assistant ( Work At Home ) ? Apply Now

Clinical Recruiter (Remote, Part-time)

Google Tag Management Specialist

Freelance Writer (Remote) Part time / Full time

High-Paying Remote Customer Service Jobs - Starting at 19 Per Hour

Remote Data Entry Side Hustler

Owner Operator ( Loads Every Day)

Owner Operator ( Loads Every Day)

Remote Answering Service Agent

Walmart Remote Jobs (Data Entry) $30/H

Cdn Site Reliability Engineer L4 / 5 - Open Connect

Disney Remote Data Entry $22/Hour ?DPS

entry level data analyst with powerbi/ java software developer

Educator for Physics

Account Executive, Reverse Auctions

Retail Sales Associate - Part-Time

Technical Support Specialist (Remote) - Entry Level, No Degree Required, 15 - 18

Registered Nurse for Senior Home Care, case management w/ Flexible schedule

Experienced Scopist for Legal Transcripts