Care Management Care Advocate - Remote

Member Care Advocate
TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering amazing care. Did we mention amazing care? It is the foundation upon which our business was built. We believe that amazing care starts from within, and our culture is reflective of this philosophy.
A wide range of health insurance options including medical, dental and vision
A strong salary and bonus program
Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
Employee Assistance Program
A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
Honesty and transparency are the foundation that we build upon. Position Summary The Member Care Advocate is responsible for performing all tasks relative to in-house and external communications with TrueScripts' clients and members. As a phone-based advocate, you can expect to spend the majority of your day actively engaging with callers. You will respond to member and client inquiries, assist members with navigating their prescription benefits, and problem-solve complex issues in the claims system. This role also provides vital administrative support to our Member Care leadership, Client Success, and Executive teams. Most importantly, you will provide amazing care to those who call and need our help and service. This is an in-office/remote hybrid role requiring 2 or more days a week in office at our Washington, Indiana location.
Pharmacy Technician experience is highly preferred for this role to help navigate clinical and claims complexities seamlessly.
Account Inquiries & Claims Processing (High-Volume Phone Support)

Manage a high volume of daily inbound and outbound phone calls and emails from members, clients, pharmacies, and physician offices.
Troubleshoot claim processing problems and inquiries directly in the claims adjudication system while maintaining an engaging phone presence.
Respond promptly to website inquiries.
Become proficient in all aspects of the claims adjudication system.
Comfort and stamina for being on the phone the majority of the workday.
Proven customer service experience, ideally in a call center or pharmacy setting.
Knowledge of prescription claims processing is highly helpful.
Excellent communication and customer relations skills.
Strong computer skills, including Microsoft Office (Excel, Word, PowerPoint, Outlook).
High School Diploma and/or college degree in a related field preferred.