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Member Care Specialist

PrudentRx · United States

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Are you looking for a 100% work-from-home position where you can tactfully and empathetically assist patient members in navigating and enrolling in their life-changing copay assistant programs? Do you enjoy a predictable environment where you help people, solve problems, and make every call count? Then, join the PrudentRx call center team as a Member Care Specialist, where you'll be a trusted guide for members navigating the copay territory and gracefully impacting lives everyday.This role is perfect for someone who thrives in a fast-paced call center, values accuracy and compassion, and takes pride in delivering first-call resolutions. This role requires the daily utilization of interpersonal, computer, and problem-solving skills with a desire to be a team player in assisting others.In addition, you will be joining a growing company that will give you the opportunity to impact your callers and co-workers every day.Position DetailsUnited States- RemoteShift availability Monday - Saturday(with one weekday off) shift times start as early as 11:30am EST. [Accepting applicants in EST, and CST time zone]Hourly/Non-ExemptEquipment and hardware provided. Interviewing, orientation, and training are conducted virtuallyResponsibilitiesWork inbound and outbound member calls, assisting with the enrollment processAct as a subject matter expert to provide members with clear, accurate, and up-to-date information regarding program eligibility, requirements, and other enrollment needsProvide members with tactful and compassionate support throughout the enrollment process (while maintaining professionalism)Escalate unresolved cases and pending member grievancesUtilize the Salesforce CRM database to verify member data to complete enrollmentGenerate detailed records and notes of inquiries, comments, and interactions via CRMWork assigned queues and/or cases as directed by call center leadershipComplete all necessary continued learning and training requirements per department and company needOther essential duties as assignedRequirementsRequirements and QualificationsRequired High School Diploma or GED 1 to 2 years of recent Call Center experience in a fast-paced setting Professional, clear, and compassionate phone demeanor and attitude at all times Computer navigation skills, including multiple screens, simultaneous systems use, phone and CRM systems Ability to maintain a high level of confidentiality and always remain HIPAA compliant Excellent verbal and written communication skills for both note-taking and call purposesPreferred Experience with Salesforce or other CRM software Certified Pharmacy Tech (CPhT) or healthcare customer service a plus Bi-lingual in English/Spanish is a plusWork From Home Requirement(200/200 mpbs) to execute all job functions. Additionally, the employee must provide a privateworkspace with a desk and chair, free from distraction.Physical Demands and Working ConditionsDuties are performed primarily in a home office setting utilizing Company provided computer equipment. While performing the duties of this job, you will regularly sit and talk. The employee is frequently required to use their hands. Employee will occasionally be required to stand and walk.BenefitsEligible for benefits within 30 daysHealth (family)DentalVisionSTD, LTD, Critical Illness and AccidentCompany Paid Life Insurance Company Paid Holidays (6)PTO Tuition Reimbursement401(k) 100% company match up to 4% 90 days