Member Care Specialist

 Member Care Specialist

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 Details

• United States- Remote
• Shift 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-Exempt
• Equipment and hardware provided. Interviewing, orientation, and training are conducted virtually.

Responsibilities

• Work inbound and outbound member calls, assisting with the enrollment process.
• Act as a subject matter expert to provide members with clear, accurate, and up-to-date information regarding program eligibility, requirements, and other enrollment needs.
• Provide members with tactful and compassionate support throughout the enrollment process (while maintaining professionalism)
• Escalate unresolved cases and pending member grievances.
• Utilize the Salesforce CRM database to verify member data to complete enrollment.
• Generate detailed records and notes of inquiries, comments, and interactions via CRM
• Work assigned queues and/or cases as directed by call center leadership
• Complete all necessary continued learning and training requirements per department and company need
• Other essential duties as assigned.

Requirements

Requirements and Qualifications
Required
• 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 purposes
Preferred
• Experience with Salesforce or other CRM software
• Certified Pharmacy Tech (CPhT) or healthcare customer service a plus
• Bi-lingual in English/Spanish is a plus

Work From Home Requirement
(200/200 mpbs) to execute all job functions. Additionally, the employee must provide a private 
workspace with a desk and chair, free from distraction.

Physical Demands and Working Conditions
Duties 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. 

Benefits

• Eligible for benefits within 30 days
• Health (family)
• Dental
• Vision
• STD, LTD, Critical Illness and Accident
• Company Paid Life Insurance 
• Company Paid Holidays (6)
• PTO
• Tuition Reimbursement
• 401(k) 100% company match up to 4% 90 days