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Job Status:
Full Time
Work Experience Required:
Hours/Shifts:
Day (First Shift)
Education Required:
Certification Required:
Unspecified
Weekends:
Not Required
Authorized to work in US:
Yes
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| Pay and Benefits |
Salary Range:
Unspecified
Benefits:
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Customer Service Representative
Volt Information Sciences
Job Number: 303363-8301-20-251076
Description:
The Customer Service Representatives will answer incoming calls; assists customers/pharmacies/physicians with orders and reorders, benefit eligibility questions and prescription status inquiries. The Customer Service Representatives will escalate drug related calls to appropriate pharmacist. Assist pharmacies and members on all issues related to processing of pharmacy claims. Determines appropriateness of overriding pharmacy claims edits and error messages. Coordinates internal resolution of claims exceptions and other issues. Initiates correspondence with members regarding claims rejections and other benefit interpretation. Educates customers on benefits, use of plan, formulary, premiums and status of orders, claims or inquiries. Other duties as assigned. Position is in a call center environment handling approx. 100 calls per day. Must be computer savvy and be able to toggle between several software programs. Will be talking to customers while typing comments in the system for each call. Need to be patient, caring and have good communication skills. There is a Quality Assurance program in place that all employees are monitored on.
Requirements:
High School Diploma or equivalent required. 18 months of college preferred. Customer Service experience preferred. Call center experience a plus.
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