Customer Service Representative Pharmacy Call Center
Customer Service Representative Pharmacy Call Center
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$ 19 - 20
1 Vacancy
Job Description
Job Summary
Must be able to start on 05.19.2025
8 Weeks of training
Virtual Training Hours:
Monday to Thursday 8:30 a.m. to 5:00 p.m.
Friday 8:00 a.m. to 4:30 p.m.
Mandatory attendance during the virtual training is required
Starting pay $19.20 $20.20
Post training hours can vary
Call Center hours of operation:
7:30 a.m. to 10:00 p.m.
Shift lengths are variable and can be either 8.5 or 10 hours.
Must be available for weekend schedules
Inbound call center to assist and educate members employer groups providers colleagues or agents of the health plan benefits. Assess services facilitate and resolve problems by understanding claims billing and coding questions. Consistently create an exceptional experience with each contact via inbound and outbound calls facetoface interactions online chat email etc.
Essential Functions
Analyzes evaluates resolves and responds to service inquiries from members providers employer groups colleagues agents customers and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
Partners with internal and external resources promptly provides customers with information and education concerning benefit clarification eligibility requirements verification authorization billing and claim status.
Identifies resolves or escalates customer concerns or complaints to achieve positive outcomes.
Places outbound welcome calls to members to educate them on their benefits as needed. Assists walkin members and agents if assigned by leadership.
Adheres to established procedure and quality guidelines in support of Priority Health service promise key drivers performance indicators as well as corporate values and codes of excellence.
Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
Assists members with administrative issues such as submitting enrollment record changes providing letter explaining coverage or benefits and obtaining and relaying certain member information to other departments as needed.
Facilitates claims resolution through followup on member calls and correspondence received to appropriate departments.
Tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
Develops and maintains behaviors of productivity availability to customers and adherence to work schedule.
Qualifications
Required
Required High School Diploma or equivalent
1 year of relevant experience in related field
Must have pharmacy experience
Preferred
Associates degree
Previous call center experience
2 years of recent pharmacy experience
About Corewell Health
As a team member at Corewell Health you will play an essential role in delivering personalized health care to our patients members and our communities. We are committed to cultivating and investing in YOU. Our topnotch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
Ondemand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE Priority Health 1231 E Beltline Grand RapidsDepartment Name
PH Customer Service West RegionEmployment Type
Full timeShift
Weekly Scheduled Hours
40Hours of Work
7:30 a.m. to 10:00 p.m.Days Worked
Monday to FridayWeekend Frequency
Variable weekendsCURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for NonCorewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drugfree workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an onsite or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
