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

Work arrangement
Yes