Healthcare Customer Service Representative

Our client, a major PBM (Pharmacy Benefit Services) entity owned by 20 non‑profit health plans serving >33 million members and benefits manager of government programs including Medicare and Medicaid, seeks an accomplished Spanish Customer Service Representative .

• * TITLE: Healthcare Customer Service Representative
• * LOCATION: REMOTE (100% work from home)
• * DURATION: 6 months contract with high potential of extension.
• * PAY RATE: $18.83/hr. on W2 contract.
• * WORK SCHEDULE: Between 8AM to 6PM (Monday to Sunday)

IMPORTANT / WORK-FROM-HOME RELATED:

Candidates must be flexible to work within a 24/7 call center environment, although there are only day and mid‑day shifts available (no graveyard / overnight shifts). Must have a hard‑wired internet connection, and a quiet workspace. Training is 2‑4 week (paid).

JOB RESPONSIBILITIES:

The main function of a Healthcare Customer Service Representative is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical Customer Service Specialist is responsible for determining the client’s issue, offering possible solutions, or providing follow‑up as needed. Customer service agents may be inbound, outbound, or a combination of both. Resolve customers’ service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills. Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments. Refer unresolved customer grievances to designated departments for further investigation. Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken

JOB REQUIREMENTS:

Education: High school diploma or GED 0-2 years customer service‑related experience required. Candidates must have customer service experience, particularly in high call volume environments. Previous experience with computer applications, such as MS Outlook or data entry software. Ability to accurately document and record customer/client information. Proficiency in computer software navigation and dual screens is essential. The ability to handle complex calls, demonstrate critical thinking, and problem‑solving skills is crucial. Strong communication skills are a must. Preferred Skills: A pharmacy background is preferred but not mandatory #J-18808-Ljbffr Amerit Consulting