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Experienced Customer Service Representative – Pharmacy Benefit Services & Medicare Support

Remote · USA Full-time New today
At arenaflex, we're dedicated to providing exceptional customer service to our members, and we're looking for talented individuals to join our team as Customer Service Representatives. As a Customer Service Representative, you will play a vital role in representing arenaflex and ensuring that our members receive the best possible service. If you're passionate about delivering outstanding customer experiences, have a knack for problem-solving, and are eager to learn and grow, we encourage you to apply for this exciting opportunity. About arenaflex arenaflex is a leading healthcare company that provides innovative solutions to improve the lives of our members. We're committed to delivering exceptional customer service, and our team is dedicated to making a positive impact on the lives of our members. As a Customer Service Representative, you'll be part of a dynamic team that's passionate about making a difference. Key Responsibilities As a Customer Service Representative, you will be responsible for: * Answering inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Services (PBS) benefits, mail-order pharmacies, or Medicare. * Taking calls back-to-back while toggling through several applications on multiple screens. * Attending 100% of trainings and the first 90 days of employment. * Updating conversion requests and providing shipment status to members. * Facilitating the transition of requested medications to home delivery. * Advocating for the member patient by placing phone calls, fax, or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillment. * Obtaining new prescriptions from physician's office and recording approval status. * Serving incoming calls from doctors' offices. * Ensuring accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance, and reduce potential legal concerns. * Resolving questions and/or issues that may be preventing shipment of an order. * Upholding quality and productivity standards on all transactions. * Ensuring complete and accurate documentation into the appropriate systems to maintain quality and meet regulatory requirements. * Using active listening skills when members express concerns about medication coverage or costs and offering members options for a starting coverage review to meet regulatory requirements. * Understanding and striving to meet or exceed call center metrics while providing excellent consistent customer service. * Learning and demonstrating understanding of call handling, which includes compliance expectations and system navigation through several applications. Work Environment & Culture As a Customer Service Representative, you'll enjoy a work-from-home lifestyle where you can virtually connect with coworkers and customers. Our team is dedicated to creating a positive and supportive work environment that fosters growth, learning, and collaboration. We're committed to providing exceptional customer service, and our team is passionate about making a difference in the lives of our members. Qualifications To be successful as a Customer Service Representative, you'll need: * A High School diploma or equivalent required. * At least 2+ years of relevant experience in Healthcare and/or Call Center (Preferred). * A dedicated workspace with no distractions is required. * Tech Savvy - Strong computer skills, including Microsoft Office. * Strong organization skills, written, and verbal communication skills. * Ability to provide exceptional listening and customer service skills; remain calm and helpful even when dealing with difficult callers. * Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions. * Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience. * Ability to work a flexible schedule, including Night and/or weekends. Schedule As a Customer Service Representative, you'll be required to: * Attend 8 weeks of training from 9:00 AM-5:30 PM EST, Monday-Friday. * Post-training, your schedule may range between 7:00 AM EST-12:00 AM EST, 7 days a week (Schedules may be subject to change based on business needs). Benefits At arenaflex, we're committed to supporting your whole health. Our comprehensive benefits package includes: * Medical, vision, and dental benefits. * Well-being and behavioral health programs. * 401(k) with company match. * Company-paid life insurance. * Tuition reimbursement. * A minimum of 18 days of paid time off per year. * Paid holidays. Career Growth Opportunities & Learning Benefits As a Customer Service Representative, you'll have the opportunity to learn and grow with our company. We offer: * Ongoing training and development programs to enhance your skills and knowledge. * Opportunities for career advancement and professional growth. * A supportive and collaborative work environment that fosters learning and innovation. Conclusion If you're passionate about delivering exceptional customer service, have a knack for problem-solving, and are eager to learn and grow, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at arenaflex, you'll have the chance to make a positive impact on the lives of our members and be part of a dynamic team that's dedicated to making a difference. Apply now to join our team and start your journey with arenaflex! ```html

Experienced Customer Service Representative – Pharmacy Benefit Services & Medicare Support

At arenaflex, we're dedicated to providing exceptional customer service to our members, and we're looking for talented individuals to join our team as Customer Service Representatives. As a Customer Service Representative, you will play a vital role in representing arenaflex and ensuring that our members receive the best possible service. If you're passionate about delivering outstanding customer experiences, have a knack for problem-solving, and are eager to learn and grow, we encourage you to apply for this exciting opportunity.

About arenaflex

arenaflex is a leading healthcare company that provides innovative solutions to improve the lives of our members. We're committed to delivering exceptional customer service, and our team is dedicated to making a positive impact on the lives of our members. As a Customer Service Representative, you'll be part of a dynamic team that's passionate about making a difference.

Key Responsibilities

  • Answering inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Services (PBS) benefits, mail-order pharmacies, or Medicare.
  • Taking calls back-to-back while toggling through several applications on multiple screens.
  • Attending 100% of trainings and the first 90 days of employment.
  • Updating conversion requests and providing shipment status to members.
  • Facilitating the transition of requested medications to home delivery.
  • Advocating for the member patient by placing phone calls, fax, or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillment.
  • Obtaining new prescriptions from physician's office and recording approval status.
  • Serving incoming calls from doctors' offices.
  • Ensuring accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance, and reduce potential legal concerns.
  • Resolving questions and/or issues that may be preventing shipment of an order.
  • Upholding quality and productivity standards on all transactions.
  • Ensuring complete and accurate documentation into the appropriate systems to maintain quality and meet regulatory requirements.
  • Using active listening skills when members express concerns about medication coverage or costs and offering members options for a starting coverage review to meet regulatory requirements.
  • Understanding and striving to meet or exceed call center metrics while providing excellent consistent customer service.
  • Learning and demonstrating understanding of call handling, which includes compliance expectations and system navigation through several applications.

Work Environment & Culture

As a Customer Service Representative, you'll enjoy a work-from-home lifestyle where you can virtually connect with coworkers and customers. Our team is dedicated to creating a positive and supportive work environment that fosters growth, learning, and collaboration. We're committed to providing exceptional customer service, and our team is passionate about making a difference in the lives of our members.

Qualifications

  • A High School diploma or equivalent required.
  • At least 2+ years of relevant experience in Healthcare and/or Call Center (Preferred).
  • A dedicated workspace with no distractions is required.
  • Tech Savvy - Strong computer skills, including Microsoft Office.
  • Strong organization skills, written, and verbal communication skills.
  • Ability to provide exceptional listening and customer service skills; remain calm and helpful even when dealing with difficult callers.
  • Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions.
  • Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience.
  • Ability to work a flexible schedule, including Night and/or weekends.

Schedule

As a Customer Service Representative, you'll be required to:

  • Attend 8 weeks of training from 9:00 AM-5:30 PM EST, Monday-Friday.
  • Post-training, your schedule may range between 7:00 AM EST-12:00 AM EST, 7 days a week (Schedules may be subject to change based on business needs).

Benefits

At arenaflex, we're committed to supporting your whole health. Our comprehensive benefits package includes:

  • Medical, vision, and dental benefits.
  • Well-being and behavioral health programs.
  • 401(k) with company match.
  • Company-paid life insurance.
  • Tuition reimbursement.
  • A minimum of 18 days of paid time off per year.
  • Paid holidays.

Career Growth Opportunities & Learning Benefits

As a Customer Service Representative, you'll have the opportunity to learn and grow with our company. We offer:

  • Ongoing training and development programs to enhance your skills and knowledge.
  • Opportunities for career advancement and professional growth.
  • A supportive and collaborative work environment that fosters learning and innovation.

Conclusion

If you're passionate about delivering exceptional customer service, have a knack for problem-solving, and are eager to learn and grow, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at arenaflex, you'll have the chance to make a positive impact on the lives of our members and be part of a dynamic team that's dedicated to making a difference. Apply now to join our team and start your journey with arenaflex!

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